Claim total
$980.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-04-12
- Stop
- 1991-04-12
The parties
- Patient
- patient Warren Kenny Blanda
- Provider
- provider Miles Kuphal
- Care site
- care site WELLNESS CENTERS, PLLC
- Payer
- payer No insurance
Record id
27d90396-195c-bf7b-491a-50888579d0b6