Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1995-06-20
- Stop
- 1995-06-20
The parties
- Patient
- patient Yolonda Aretha Strosin
- Provider
- provider Kristofer Hettinger
- Care site
- care site ALLIANCE WELLNESS CENTER LLC
- Payer
- payer No insurance
Record id
30f87563-5420-b643-ff2b-4ebcd50c815e