Claim total
$1,184.28
base $93.83 · payer covered $947.42
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-07-10
- Stop
- 2025-07-11
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-9ded-a4572e30b9ab