Claim total
$1,314.99
base $93.83 · payer covered $1,051.98
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-09-19
- Stop
- 2016-09-20
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Lizeth Schiller
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-a7bc-56b02970b19d