Claim total
$13,761.73
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-09-08
- Stop
- 2000-09-08
The parties
- Patient
- patient Dorotea Adame
- Provider
- provider Amparo Pouros
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer No insurance
Record id
18706a0f-81b0-8388-8bbc-6782432701af