Claim total
$4,036.74
base $93.83 · payer covered $3,229.38
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-08-18
- Stop
- 2018-08-18
The parties
- Patient
- patient Porfirio West
- Provider
- provider Julene Lemke
- Payer
- payer Medicare
Record id
05880a71-6004-727f-73b8-4906cd324058