Claim total
$13,104.17
base $93.83 · payer covered $10,483.32
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-10-12
- Stop
- 2024-10-12
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Samuel Boyle
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-734e-f7f8a6e8e41c