Claim total
$777.13
base $93.83 · payer covered $621.70
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-08-26
- Stop
- 2016-08-26
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-cc93-dbdab9fa37ea