Claim total
$775.00
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1983-01-13
- Stop
- 1983-01-13
The parties
- Patient
- patient Clifton John Ernser
- Provider
- provider Denna Feil
- Payer
- payer No insurance
Record id
0e8efe67-68db-1705-59b9-ed8f414e19f5