Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Alzheimer's disease26929004
- Start
- 1995-04-10
- Stop
- 1995-04-10
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Tanna Macejkovic
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-d4ae-54392d0408be