Claim total
$906.71
base $93.83 · payer covered $538.96
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-12-07
- Stop
- 2016-12-07
The parties
- Patient
- patient Martín Gustavo Farías
- Provider
- provider Elbert Schaefer
- Payer
- payer Medicare
Record id
296bff62-da20-817b-ca1c-e11fa80ec9f1