Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1987-10-31
- Stop
- 1987-10-31
The parties
- Patient
- patient Graciela Klocko
- Provider
- provider Lincoln Steuber
- Payer
- payer No insurance
Record id
2650b17d-56ce-e015-cc02-df165793a928