Claim total
$505.13
base $93.83 · payer covered $404.10
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-11-22
- Stop
- 2018-11-22
The parties
- Provider
- provider Ursula Nolan
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-133c-e25892a7af4c