Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1965-04-05
- Stop
- 1965-04-05
The parties
- Patient
- patient Eddie Byron McClure
- Provider
- provider Criselda Bartell
- Payer
- payer No insurance
Record id
0681fdac-334f-0741-3769-d6b28b3bd2a5