Claim total
$1,559.03
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1969-02-08
- Stop
- 1969-02-08
The parties
- Patient
- patient Luigi Ezekiel Stehr
- Provider
- provider Kim Lind
- Payer
- payer No insurance
Record id
0f90eec3-ef36-aefd-8d8d-7e94ba741f4f