Claim total
$1,597.60
base $93.83 · payer covered $1,091.67
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-01-30
- Stop
- 2017-01-30
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Magen Mertz
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-cc2f-7ad283c28234