Claim total
$777.13
base $93.83 · payer covered $621.70
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-10-06
- Stop
- 2019-10-06
The parties
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-b92a-c03ff5cf774e