Claim total
$1,590.29
base $93.83 · payer covered $1,142.56
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1984-03-25
- Stop
- 1984-03-25
The parties
- Patient
- patient Maria Jerrell Bechtelar
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
0fb9a374-3017-65cf-1419-a87fe0192870