Claim total
$1,938.31
base $93.83 · payer covered $1,367.50
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-12-11
- Stop
- 2014-12-11
The parties
- Patient
- patient Lorenzo Ramiro Melgar
- Provider
- provider Lizeth Schiller
- Payer
- payer Medicare
Record id
17370847-0ea5-3761-9541-eefbc2de4dd2