Claim total
$1,055.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-06-11
- Stop
- 2025-06-11
The parties
- Patient
- patient Demarcus Arlen Murphy
- Provider
- provider Dorene Swaniawski
- Care site
- care site ALLIANCE WELLNESS CENTER LLC
- Payer
- payer No insurance
Record id
0df1456f-7ab2-727b-569a-c54e7f6fb07c