Claim total
$840.41
base $93.83 · payer covered $672.32
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-11-03
- Stop
- 2024-11-03
The parties
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-23fd-4ca929e2d85f