Claim total
$1,666.03
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1964-11-01
- Stop
- 1964-11-01
The parties
- Patient
- patient Alden Raul Grady
- Provider
- provider Rosio Gleason
- Payer
- payer No insurance
Record id
242df0d7-e6c5-1c3a-245f-fad71c3fed88