Claim total
$6,872.16
base $93.83 · payer covered $5,497.71
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2005-04-11
- Stop
- 2005-04-11
The parties
- Patient
- patient Ezequiel Eldridge Kunde
- Provider
- provider Douglas Will
- Payer
- payer Medicare
Record id
13200325-9998-abe8-67fc-3f0fc7688e01