Claim total
$910.06
base $93.83 · payer covered $546.32
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-01-25
- Stop
- 2010-01-25
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Matt Shanahan
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-8da0-8669ad437356