Claim total
$6,289.57
base $93.83 · payer covered $6,289.57
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-05-14
- Stop
- 2020-05-14
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Douglas Will
- Payer
- payer Dual Eligible
Record id
01e64c71-bb1e-2212-83c2-a424163832d8