Claim total
$847.72
base $93.83 · payer covered $678.17
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-01-30
- Stop
- 2017-01-30
The parties
- Patient
- patient Markita Hahn
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
073a6492-3457-ad14-4a46-3f6268d54532