Claim total
$907.23
base $93.83 · payer covered $539.38
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-10-24
- Stop
- 2016-10-24
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Anneliese Bradtke
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-8deb-72e04fba2ec0