Claim total
$1,501.37
base $93.83 · payer covered $1,201.09
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-10-07
- Stop
- 2019-10-07
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Shani Carroll
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-6c87-a887321ffc69