Claim total
$641.13
base $93.83 · payer covered $326.50
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1997-01-30
- Stop
- 1997-01-30
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Douglas Will
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-8e4a-5725c84a21d4