Claim total
$1,938.31
base $93.83 · payer covered $1,550.64
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-03-07
- Stop
- 2018-03-07
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Izola Wuckert
- Payer
- payer Medicare
Record id
03eafe4d-23cd-eb61-b84c-86e5b87d0b31