Claim total
$7,502.87
base $93.83 · payer covered $6,002.29
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-05-04
- Stop
- 2017-05-04
The parties
- Patient
- patient Dylan Mante
- Provider
- provider Pearly Rohan
- Payer
- payer Medicare
Record id
1d345bd8-58e2-79a2-fcbc-c0251866c3dc