Claim total
$10,389.02
base $93.83 · payer covered $8,311.21
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-08-22
- Stop
- 2015-08-22
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Luisa Wilkinson
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-30f5-c85e0b579ee1