Claim total
$767.69
base $93.83 · payer covered $432.52
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-05-29
- Stop
- 2023-05-29
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-6343-da9f0c90e795