Claim total
$1,229.45
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-03-03
- Stop
- 2018-03-03
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Jared Berge
- Payer
- payer No insurance
Record id
03959b6c-660d-eecd-5a98-55ead18867c6