Claim total
$906.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1982-04-02
- Stop
- 1982-04-02
The parties
- Patient
- patient Asa Frederic Terry
- Provider
- provider Nenita Glover
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
Record id
0cd4c735-0aa4-b0ae-9dd1-e78b9136bfe8