Claim total
$894.25
base $93.83 · payer covered $715.38
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-10-30
- Stop
- 2021-10-30
The parties
- Provider
- provider Billie Abbott
- Care site
- care site ALLIANCE WELLNESS CENTER LLC
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-2456-3c52e189a4d5