Claim total
$3,837.46
base $93.83 · payer covered $3,069.96
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-09-02
- Stop
- 2017-09-02
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-754b-b08bb6a41a38