Claim total
$1,050.30
base $93.83 · payer covered $840.23
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-10-30
- Stop
- 2023-10-31
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Lizeth Schiller
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-eefa-80e1649d6475