Claim total
$1,186.30
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1959-04-26
- Stop
- 1959-04-26
The parties
- Patient
- patient Colby Wintheiser
- Provider
- provider Kelvin Reichel
- Payer
- payer No insurance
Record id
20bc4efb-24a4-91b5-eebe-1de05436873d