Claim total
$1,171.59
base $93.83 · payer covered $937.27
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-06-21
- Stop
- 2026-06-21
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Celsa Bailey
- Care site
- care site INDEPENDENT MEDICAL CLINIC PA
- Payer
- payer Medicare
Record id
03e70281-0fa0-c7c6-559b-16b5990c59b1