Claim total
$910.06
base $93.83 · payer covered $728.04
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-02-22
- Stop
- 2001-02-22
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Douglas Will
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-b264-b0aa22ef892b