Claim total
$837.34
base $93.83 · payer covered $669.86
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-10-29
- Stop
- 2021-10-29
The parties
- Patient
- patient Maryjo Amal Goldner
- Provider
- provider Mike Monahan
- Care site
- care site THE FAMILY PARTNERSHIP
- Payer
- payer Medicare
Record id
2ed77eab-3571-a72d-83a1-dd7f03b84a79