Claim total
$979.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-12-25
- Stop
- 2000-12-25
The parties
- Patient
- patient Cesar Jay MacGyver
- Provider
- provider Nenita Glover
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer No insurance
Record id
3b811cbd-0050-5937-9b1a-e14a5832b05e