Claim total
$694.97
base $93.83 · payer covered $555.96
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-07-17
- Stop
- 2019-07-17
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Trisha Gleason
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-7251-15d35cc21cc0