Claim total
$987.96
base $93.83 · payer covered $790.36
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-02-11
- Stop
- 2018-02-11
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Amparo Pouros
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-e53b-929602853a43