Claim total
$996.11
base $93.83 · payer covered $610.48
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-05-31
- Stop
- 2018-06-01
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-f466-73613bd7b02e