Claim total
$641.13
base $93.83 · payer covered $326.50
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-05-25
- Stop
- 2017-05-26
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Vanda Lebsack
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-45f9-2386f3f09601