Claim total
$973.34
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-10-10
- Stop
- 2017-10-10
The parties
- Patient
- patient Gonzalo Jc Stark
- Provider
- provider Janice Huel
Record id
35ecf519-d5db-5fe4-6cdf-ec74702b0b4e