Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1946-07-15
- Stop
- 1946-07-15
The parties
- Patient
- patient Cedrick Cruickshank
- Provider
- provider Kim Lind
- Payer
- payer No insurance
Record id
1f831053-89b2-b3f0-a4f0-689a231a1650