Claim total
$14,750.15
base $93.83 · payer covered $11,800.12
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-09-25
- Stop
- 2021-09-25
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-fcaf-3e125db848cf