Claim total
$775.00
base $93.83 · payer covered $437.49
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-03-18
- Stop
- 2019-03-18
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-e4d8-bb4a34ca2184