Claim total
$5,603.63
base $93.83 · payer covered $4,482.90
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-07-28
- Stop
- 2019-07-28
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Lizeth Schiller
- Payer
- payer Anthem
Record id
048ae427-86b6-6ce9-a55a-a5bbdced41e2