Claim total
$704.41
base $93.83 · payer covered $383.36
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2003-07-06
- Stop
- 2003-07-06
The parties
- Provider
- provider Randee Sawayn
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-c92c-bc378631a6fd