Claim total
$767.69
base $93.83 · payer covered $614.14
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-03-12
- Stop
- 2018-03-12
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Danica Stracke
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-294d-95d0699775fd