Claim total
$1,049.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1958-02-26
- Stop
- 1958-02-26
The parties
- Patient
- patient Nicholas Glenn Beatty
- Provider
- provider Rosio Gleason
- Payer
- payer No insurance
Record id
340ca81c-47ed-6eb0-a55e-98e310ebe47f