Claim total
$1,049.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-10-24
- Stop
- 2023-10-24
The parties
- Patient
- patient Cori Yuri Kutch
- Provider
- provider Rodrick Moen
- Payer
- payer No insurance
Record id
13c3d085-8419-1059-3412-ae638deb3575