Claim total
$1,534.32
base $93.83 · payer covered $1,044.17
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1987-03-02
- Stop
- 1987-03-02
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Sherly Hodkiewicz
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-a433-f01a9d030819