Claim total
$4,524.19
base $93.83 · payer covered $3,619.34
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-11-07
- Stop
- 1999-11-07
The parties
- Patient
- patient Tynisha Kerri Padberg
- Provider
- provider Shenna Metz
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicare
Record id
27af11aa-2603-d62b-53d1-3c59a69d243a