Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-09-22
- Stop
- 1989-09-22
The parties
- Patient
- patient Mitchell Buck Williamson
- Provider
- provider Sherly Hodkiewicz
- Payer
- payer No insurance
Record id
30e5ea2d-b852-2bba-a169-736d710b2672