Claim total
$1,599.73
base $93.83 · payer covered $1,093.38
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1992-01-02
- Stop
- 1992-01-02
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Ronnie Gleason
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-71d7-c7d278fa700f