Claim total
$894.25
base $93.83 · payer covered $715.38
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-10-16
- Stop
- 2019-10-16
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-670c-f445071217ad