Claim total
$780.15
base $93.83 · payer covered $624.11
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-02-20
- Stop
- 2019-02-20
The parties
- Patient
- patient Setsuko Bayer
- Provider
- provider Ursula Nolan
- Payer
- payer Medicare
Record id
2096bc61-01be-46de-4b1d-5cad778ca1e0