Claim total
$979.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-12-01
- Stop
- 1994-12-01
The parties
- Patient
- patient Joaquin Emanuel Kirlin
- Provider
- provider Rosio Gleason
- Payer
- payer No insurance
Record id
32091c08-6caf-6177-76ac-ccd446e42707