Claim total
$777.13
base $93.83 · payer covered $621.70
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-10-20
- Stop
- 2018-10-20
The parties
- Provider
- provider Shaun Hills
- Care site
- care site STONEBRIDGE WELLNESS LTD
- Payer
- payer Medicare
Record id
021142be-3a32-af72-cbc0-fc636691422b