Claim total
$1,039.69
base $93.83 · payer covered $831.74
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-12-26
- Stop
- 2016-12-26
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-48e5-61f03231e2d8