Claim total
$1,252.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-06-24
- Stop
- 2021-06-24
The parties
- Provider
- provider Anneliese Bradtke
- Payer
- payer No insurance
Record id
06014704-4726-adb5-f0d1-0b6509cb6e37