Claim total
$1,602.75
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-06-05
- Stop
- 1999-06-05
The parties
- Patient
- patient Kareem Beer
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer No insurance
Record id
1295a2c8-248a-fa48-251c-207d5322984c