Claim total
$775.00
base $93.83 · payer covered $619.99
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1992-03-30
- Stop
- 1992-03-30
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Sherly Hodkiewicz
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-9dd6-f0d28667fceb