Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Start
- 2013-12-16
- Stop
- 2013-12-16
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Billie Abbott
- Care site
- care site ALLIANCE WELLNESS CENTER LLC
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-3887-bb68635d961c