Claim total
$995.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-11-26
- Stop
- 2015-11-26
The parties
- Patient
- patient Harland Schroeder
- Provider
- provider Wesley Nader
Record id
0b4e32a4-f92e-1b22-d080-44ec8eb974a8