Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1959-10-17
- Stop
- 1959-10-17
The parties
- Patient
- patient Gregg Thanh Casper
- Provider
- provider Tyrell Collins
- Care site
- care site WRIGHT MEDICAL CARE PLLC
- Payer
- payer No insurance
Record id
0f8a82e6-c6ea-0ec7-7d39-bb399285262e