Claim total
$9,933.49
base $93.83 · payer covered $7,946.78
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-04-28
- Stop
- 2008-04-28
The parties
- Patient
- patient Ezequiel Eldridge Kunde
- Provider
- provider Douglas Will
- Payer
- payer Medicare
Record id
13200325-9998-abe8-458e-21b012b20fb6