Claim total
$641.13
base $93.83 · payer covered $326.50
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2011-09-26
- Stop
- 2011-09-26
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Julene Lemke
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-29c6-d9c3d7cf6421