Claim total
$1,102.87
base $93.83 · payer covered $882.28
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-03-04
- Stop
- 2017-03-04
The parties
- Patient
- patient Karl Kurt Howell
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicare
Record id
1a408a9d-8a01-64e4-a319-02a566914eec