Claim total
$641.13
base $93.83 · payer covered $512.90
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1983-06-20
- Stop
- 1983-06-20
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-7884-5f5d0b4c5a1f