Claim total
$1,186.30
base $93.83 · payer covered $762.63
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-10-06
- Stop
- 2017-10-06
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-9506-ca0fe59f643c