Claim total
$5,609.34
base $93.83 · payer covered $4,487.46
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1981-03-26
- Stop
- 1981-03-26
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
04371635-b149-02a5-2f18-06bf849c3e96