Claim total
$8,418.84
base $93.83 · payer covered $6,553.35
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-04-04
- Stop
- 2022-04-04
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Matt Shanahan
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-88fd-2f2a78b07c61