Claim total
$1,663.01
base $93.83 · payer covered $1,330.40
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-09-30
- Stop
- 2018-09-30
The parties
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-5bd8-6a62e7025440