Claim total
$910.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1979-11-04
- Stop
- 1979-11-04
The parties
- Patient
- patient Hubert Carey Donnelly
- Provider
- provider Kim Lind
- Payer
- payer No insurance
Record id
2d78cd30-6b9a-db6f-7f75-4c33d1513b05