Claim total
$830.97
base $93.83 · payer covered $664.76
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-10-24
- Stop
- 2013-10-24
The parties
- Provider
- provider Ursula Nolan
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-c0a4-0b75146611bb