Claim total
$775.00
base $93.83 · payer covered $625.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1993-02-11
- Stop
- 1993-02-11
The parties
- Patient
- patient Dwain Ruecker
- Provider
- provider Carin McClure
- Payer
- payer Medicaid
Record id
0887d860-7552-81d7-9f05-68a57b05508b