Claim total
$847.72
base $93.83 · payer covered $491.77
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-01-29
- Stop
- 2017-01-29
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Arnulfo Hickle
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-e2de-07e34394c79d