Claim total
$5,836.20
base $93.83 · payer covered $4,668.95
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-11-21
- Stop
- 2016-11-21
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Aaron Champlin
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-fbc5-1a768a8aaa24