Claim total
$911.00
base $93.83 · payer covered $911.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-11-23
- Stop
- 2023-11-23
The parties
- Patient
- patient Lamar Mark Connelly
- Provider
- provider Julene Lemke
- Payer
- payer Dual Eligible
Record id
050746ba-be7e-c592-0e1b-386c568b2888