Claim total
$1,197.92
base $93.83 · payer covered $1,097.92
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-04-01
- Stop
- 2010-04-01
The parties
- Patient
- patient Eugene Kreiger
- Provider
- provider Dan Leuschke
- Care site
- care site WELLNESS CENTERS, PLLC
- Payer
- payer Medicaid
Record id
1d4b71eb-b261-07f7-295e-e177933847c7