Claim total
$780.15
base $93.83 · payer covered $624.11
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-05-02
- Stop
- 2008-05-03
The parties
- Patient
- patient Marna Francis Kuhlman
- Provider
- provider Shani Carroll
- Payer
- payer Medicare
Record id
1b79641c-a011-48b3-4c1b-4213e4acd5c4