Claim total
$636.84
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1938-07-31
- Stop
- 1938-07-31
The parties
- Patient
- patient Tyron Earnest Dooley
- Provider
- provider Fatimah Schumm
- Payer
- payer No insurance
Record id
334be4d9-d110-fd9c-bd12-b9d405999e38