Claim total
$775.00
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1972-08-25
- Stop
- 1972-08-25
The parties
- Patient
- patient Geoffrey Kilback
- Provider
- provider Lovie Turcotte
- Payer
- payer No insurance
Record id
27d28cce-29f9-127f-5343-4b286e3d26f2