Claim total
$1,036.62
base $93.83 · payer covered $829.28
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-10-04
- Stop
- 2017-10-04
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-237b-e6f0d7c0141d