Claim total
$8,033.52
base $93.83 · payer covered $8,033.52
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-04-27
- Stop
- 2017-04-27
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Douglas Will
- Payer
- payer Dual Eligible
Record id
01e64c71-bb1e-2212-ca66-0d5b66346e95