Claim total
$1,000.80
base $93.83 · payer covered $900.80
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-02-05
- Stop
- 2021-02-05
The parties
- Patient
- patient Danial Hal Lang
- Provider
- provider Barton Eichmann
- Payer
- payer Medicaid
Record id
06067a48-9015-34d7-22e0-c1569dce0040