Claim total
$973.34
base $93.83 · payer covered $778.66
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-04-30
- Stop
- 2018-04-30
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-3b5a-a1399ec8da7d