Claim total
$1,945.62
base $93.83 · payer covered $1,370.09
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-09-25
- Stop
- 2015-09-25
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-ebfa-3d609a79a71b