Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2002-05-30
- Stop
- 2002-05-30
The parties
- Patient
- patient Hyman Alfred Conroy
- Provider
- provider José Emilio Saucedo
- Care site
- care site SOUTHDALE INTERNAL MEDICINE PA
Record id
22a118a1-9bf6-cbe9-9d67-9f4c3ed97d4e