Claim total
$830.97
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-11-20
- Stop
- 2000-11-20
The parties
- Patient
- patient Herbert Dorian Hickle
- Provider
- provider Carl Kling
- Payer
- payer No insurance
Record id
0eddbb62-87a6-7f0d-9ba5-bf34ed29d7d4