Claim total
$1,115.71
base $93.83 · payer covered $892.56
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-03-01
- Stop
- 2017-03-01
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Izola Wuckert
- Payer
- payer Medicare
Record id
03eafe4d-23cd-eb61-a97f-d9085fd20bbd