Claim total
$838.28
base $93.83 · payer covered $670.61
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-03-13
- Stop
- 1989-03-13
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Sherly Hodkiewicz
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-2423-b309148953f8