Claim total
$906.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1956-11-09
- Stop
- 1956-11-09
The parties
- Patient
- patient Marcelo Milton Auer
- Provider
- provider Rosio Gleason
- Payer
- payer No insurance
Record id
2cddc9ff-8fbe-97c4-67c6-1670a229da86