Claim total
$1,115.71
base $93.83 · payer covered $892.56
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-11-04
- Stop
- 2024-11-05
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Lizeth Schiller
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-8f45-26a3876b900a