Claim total
$777.13
base $93.83 · payer covered $435.30
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-06-29
- Stop
- 2023-06-30
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-149b-0c17f5130c9d