Claim total
$1,046.06
base $93.83 · payer covered $946.06
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-01-25
- Stop
- 2020-01-25
The parties
- Patient
- patient Bernard Gleichner
- Provider
- provider Julene Lemke
- Payer
- payer Medicaid
Record id
04317637-3b9f-f5e4-58c3-e06b5251d675