Claim total
$911.00
base $93.83 · payer covered $728.79
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-08-25
- Stop
- 2024-08-25
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Lizeth Schiller
- Payer
- payer Medicare
Record id
048ae427-86b6-6ce9-fb6f-ba4890b6e71a