Claim total
$906.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-02-26
- Stop
- 2001-02-26
The parties
- Patient
- patient Shaneka Katheleen Grady
- Provider
- provider Nikia Mills
- Payer
- payer No insurance
Record id
302f7405-9f23-5548-d40a-da38a43c3520