Claim total
$1,205.60
base $93.83 · payer covered $964.47
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-01-25
- Stop
- 2016-01-25
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Remona Sanford
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-2133-798e06167432