Claim total
$1,460.38
base $93.83 · payer covered $1,168.29
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-08-18
- Stop
- 2017-08-18
The parties
- Patient
- patient Moshe Danilo Schoen
- Provider
- provider Tyson Kautzer
- Care site
- care site THE FAMILY PARTNERSHIP
- Payer
- payer Medicare
Record id
12e72ee6-8b43-3f6b-f940-2eb93021eb1b