Claim total
$1,046.06
base $93.83 · payer covered $656.01
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-08-31
- Stop
- 2025-08-31
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Lizeth Schiller
- Payer
- payer Medicare
Record id
048ae427-86b6-6ce9-3ff2-7c8ec81cdffe