Claim total
$910.06
base $93.83 · payer covered $728.04
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1986-07-07
- Stop
- 1986-07-07
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-5841-7d95483bb8ed