Claim total
$1,597.60
base $93.83 · payer covered $1,278.07
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1986-02-24
- Stop
- 1986-02-24
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Tanna Macejkovic
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-34a0-34cacd4191cc