Claim total
$1,041.77
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-10-05
- Stop
- 1991-10-05
The parties
- Patient
- patient Joseph Greenholt
- Provider
- provider Randee Sawayn
- Payer
- payer No insurance
Record id
28bdf822-28b5-c0b5-a19c-f589e1a25790