Claim total
$1,324.02
base $93.83 · payer covered $1,059.21
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1987-12-10
- Stop
- 1987-12-10
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Ronnie Gleason
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-3a3a-e57239a5da44