Claim total
$1,463.73
base $93.83 · payer covered $1,170.98
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-12-15
- Stop
- 2014-12-15
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-ef74-5522d041eb00