Claim total
$641.13
base $93.83 · payer covered $326.50
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-06-23
- Stop
- 2022-06-24
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-eea3-f528877d026b