Claim total
$767.69
base $93.83 · payer covered $481.22
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-03-06
- Stop
- 2020-03-06
The parties
- Patient
- patient Vannessa Suk Paucek
- Provider
- provider Lizeth Schiller
- Payer
- payer Medicare
Record id
0797d401-bad3-3145-1981-afb1c5ba4beb