Claim total
$1,463.73
base $93.83 · payer covered $1,170.98
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-09-24
- Stop
- 2017-09-24
The parties
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-2963-24e83f932aab