Claim total
$1,052.43
base $93.83 · payer covered $655.54
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-06-05
- Stop
- 2023-06-05
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Abram Ullrich
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-eaa1-dd45dec60b6a