Claim total
$838.28
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-11-07
- Stop
- 1994-11-07
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Wesley Nader
- Payer
- payer No insurance
Record id
026ed208-10c9-c46f-661f-e6b76524df53