Claim total
$911.00
base $93.83 · payer covered $728.79
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-01-13
- Stop
- 2014-01-13
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider David Klein
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-110c-0090e32a9813