Claim total
$1,120.76
base $93.83 · payer covered $896.60
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-03-29
- Stop
- 2021-03-29
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Danica Stracke
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-927b-b5c1f5f26445