Claim total
$840.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1996-02-11
- Stop
- 1996-02-11
The parties
- Patient
- patient Gino Bennett Legros
- Provider
- provider Kenneth Mayert
- Payer
- payer No insurance
Record id
0bb558a9-1710-fe6a-31e7-a56a3aecc342