Claim total
$6,240.95
base $93.83 · payer covered $6,205.95
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-05-30
- Stop
- 2000-05-30
The parties
- Provider
- provider David Klein
- Payer
- payer Dual Eligible
Record id
0126321a-a5af-784d-8ec4-eb647777c356