Claim total
$16,323.87
base $93.83 · payer covered $13,059.09
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-02-11
- Stop
- 1999-02-11
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Douglas Will
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-06be-48b54a7d8be1