Claim total
$641.13
base $93.83 · payer covered $512.90
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-09-07
- Stop
- 2018-09-07
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Randee Sawayn
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-d6d8-834ff5d59022