Claim total
$908.84
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-04-28
- Stop
- 1994-04-28
The parties
- Patient
- patient Marco Giuseppe Heaney
- Provider
- provider Dan Leuschke
- Care site
- care site WELLNESS CENTERS, PLLC
- Payer
- payer No insurance
Record id
0df70aba-024c-b788-8f29-f3d67b96ed7e