Claim total
$777.13
base $93.83 · payer covered $621.70
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-12-21
- Stop
- 2015-12-21
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-2e88-d0fb8ce02c61