Claim total
$1,308.90
base $93.83 · payer covered $1,047.12
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-12-16
- Stop
- 2023-12-16
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-076b-49570d1dfa2e