Claim total
$775.00
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1997-01-24
- Stop
- 1997-01-25
The parties
- Patient
- patient Jeffry Labadie
- Provider
- provider Janice Huel
Record id
19aec687-b7f8-9eb6-2c13-df9ca79ca3d6