Claim total
$5,178.55
base $93.83 · payer covered $4,142.84
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-08-27
- Stop
- 2016-08-27
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Abram Ullrich
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-b7b0-9c56d913e724