Claim total
$3,976.48
base $93.83 · payer covered $3,181.17
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1990-08-16
- Stop
- 1990-08-16
The parties
- Patient
- patient Alton Patrick Dooley
- Provider
- provider Phylis Lind
- Payer
- payer Medicare
Record id
3443265b-cbf5-d172-4483-41cc5a383e81