Claim total
$1,115.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1998-05-23
- Stop
- 1998-05-23
The parties
- Patient
- patient Damon Kris Oberbrunner
- Provider
- provider Barton Eichmann
- Payer
- payer No insurance
Record id
07b50cab-ac36-796f-8da0-fc7b5cb602bb