Claim total
$220.39
base $93.83 · payer covered $154.28
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1996-04-05
- Stop
- 1996-04-05
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Lovie Turcotte
Record id
062f00f9-5db0-55c4-1e81-2ba2967cc081