Claim total
$1,116.65
base $93.83 · payer covered $706.91
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-02-17
- Stop
- 2020-02-17
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider David Klein
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-3fe1-684ab5e21c49