Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1968-03-07
- Stop
- 1968-03-07
The parties
- Patient
- patient Kirk Jermaine Renner
- Provider
- provider Billie Abbott
- Care site
- care site ALLIANCE WELLNESS CENTER LLC
- Payer
- payer No insurance
Record id
07d0ff26-12eb-835d-ea2d-ec44e96e42d3