Claim total
$917.37
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1990-06-12
- Stop
- 1990-06-13
The parties
- Patient
- patient Garfield Neal Schoen
- Provider
- provider César Peralta
- Care site
- care site ORKA HEALTH AND WELLNESS PLLC
- Payer
- payer No insurance
Record id
090961b1-ee11-feb5-945c-a00910fac3b1