Claim total
$3,900.74
base $93.83 · payer covered $3,120.58
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-09-14
- Stop
- 2019-09-14
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Len Gottlieb
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-c287-9ba16530f035