Claim total
$961.55
base $93.83 · payer covered $582.84
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2012-04-26
- Stop
- 2012-04-27
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-a973-2aa5ca161a64