Claim total
$903.69
base $93.83 · payer covered $722.94
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-11-05
- Stop
- 2018-11-05
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Julene Lemke
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-c77e-d39cc1aa4bea