Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-06-17
- Stop
- 1994-06-17
The parties
- Provider
- provider Armand McLaughlin
- Payer
- payer No insurance
Record id
0f986608-7a32-b945-63bc-62378b92bc9d