Claim total
$847.72
base $93.83 · payer covered $567.32
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-10-06
- Stop
- 2021-10-06
The parties
- Patient
- patient Len Hunter Schneider
- Provider
- provider Matt Shanahan
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer Medicare
Record id
31182b1e-4f85-2b24-e4e3-6725fabdbb79