Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-03-22
- Stop
- 2015-03-22
The parties
- Patient
- patient Adrian Cormier
- Provider
- provider Rodrick Willms
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
Record id
24bc60ad-2a1e-82fe-c502-63468f02e2dc