Claim total
$910.06
base $93.83 · payer covered $728.04
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-10-17
- Stop
- 2021-10-17
The parties
- Provider
- provider Randee Sawayn
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-05e2-1783ccd9bbaf