Claim total
$1,163.18
base $93.83 · payer covered $1,163.18
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-04-23
- Stop
- 1999-04-23
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Lovie Turcotte
Record id
062f00f9-5db0-55c4-90d1-ac2c51a5e6c7