Claim total
$846.78
base $93.83 · payer covered $677.42
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-10-23
- Stop
- 2022-10-23
The parties
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-75ca-56cf4cca49d0