Claim total
$1,186.30
base $93.83 · payer covered $949.03
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-10-01
- Stop
- 2018-10-02
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Shani Carroll
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-f2cb-5d598c2bab83