Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1992-10-03
- Stop
- 1992-10-03
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Abram Ullrich
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer No insurance
Record id
04510aef-c62e-a77f-0afc-e0ca2ea958b7