Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1965-10-23
- Stop
- 1965-10-23
The parties
- Patient
- patient Rick Miles Lockman
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer No insurance
Record id
2f111109-230b-28cb-75bf-711cc4d4475a