Claim total
$772.84
base $93.83 · payer covered $618.26
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-03-16
- Stop
- 2019-03-16
The parties
- Patient
- patient Charlyn Welch
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicare
Record id
08bd0418-52a9-c1b8-c9b7-19f7f8ce8123