Claim total
$1,240.33
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-03-25
- Stop
- 2017-03-25
The parties
- Patient
- patient Jeremy Gregory Jacobson
- Provider
- provider Nikia Mills
Record id
04f9baea-0c64-12b2-3164-fc2e4f4ac96f