Claim total
$830.97
base $93.83 · payer covered $664.76
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-12-04
- Stop
- 2019-12-05
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider George Rowe
- Payer
- payer Medicare
Record id
03ef4f74-940b-d219-0dbd-ca9dfb233be7