Claim total
$1,213.08
base $93.83 · payer covered $809.53
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2007-12-26
- Stop
- 2007-12-26
The parties
- Patient
- patient Yun Herminia Barton
- Provider
- provider Jesse Turner
- Payer
- payer Medicare
Record id
100eef27-6b16-ad8b-2900-59960ae5caa8