Claim total
$1,449.77
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2011-08-17
- Stop
- 2011-08-17
The parties
- Patient
- patient Andrea Buford Ruecker
- Provider
- provider Luisa Wilkinson
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
Record id
2c09d208-cc81-0c59-6bae-1b5b69d1b435