Claim total
$846.78
base $93.83 · payer covered $677.42
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-09-13
- Stop
- 2019-09-13
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-b7b8-3c3754146f0b