Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-10-31
- Stop
- 1994-10-31
The parties
- Patient
- patient Brooks Beer
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer No insurance
Record id
1ebdf982-da2d-7123-8d6d-2ee745b50a1e