Claim total
$1,056.39
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1952-02-15
- Stop
- 1952-02-15
The parties
- Patient
- patient Man Jerrold Larkin
- Provider
- provider Kim Lind
- Payer
- payer No insurance
Record id
069b5965-af71-2dc0-0bb5-8d3bc542d741