Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1982-06-02
- Stop
- 1982-06-03
The parties
- Patient
- patient Julee Corwin
- Provider
- provider Matt Shanahan
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer No insurance
Record id
3b09745b-0b4e-2893-0353-7942eebe508c