Claim total
$1,527.01
base $93.83 · payer covered $69.74
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-08-20
- Stop
- 2023-08-20
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Lizeth Schiller
- Payer
- payer Anthem
Record id
048ae427-86b6-6ce9-9bd3-60f4af0d8cd7