Claim total
$980.65
base $93.83 · payer covered $980.65
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-02-16
- Stop
- 2015-02-17
The parties
- Patient
- patient Ashley Ira Turner
- Provider
- provider Julene Lemke
- Payer
- payer Dual Eligible
Record id
326482dc-ce5c-abc8-18fd-c285b578e60d