Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-06-21
- Stop
- 2020-06-22
The parties
- Patient
- patient Madlyn Rachele Hahn
- Provider
- provider In Reichert
Record id
148d5f62-4056-4e88-a171-5ab0cb4fd66a