Claim total
$1,123.02
base $93.83 · payer covered $898.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-10-12
- Stop
- 2020-10-13
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Shani Carroll
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-567e-bea4f4e2701c