Claim total
$1,307.21
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1993-07-13
- Stop
- 1993-07-13
The parties
- Patient
- patient Rochelle Hsiu Murray
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer No insurance
Record id
0bad7c4e-e238-1217-dd03-24b3edbbfaa5