Claim total
$1,038.28
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1990-01-11
- Stop
- 1990-01-11
The parties
- Patient
- patient Sol Curtis Hahn
- Provider
- provider Vanda Lebsack
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
Record id
15a879af-2f3f-5e4d-dd9b-457efdd128e7