Claim total
$1,041.77
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1954-02-11
- Stop
- 1954-02-11
The parties
- Patient
- patient Clifton John Ernser
- Provider
- provider Winston Schmeler
- Payer
- payer No insurance
Record id
0e8efe67-68db-1705-a386-c1d4b258d6b0