Claim total
$1,229.18
base $93.83 · payer covered $983.34
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1995-01-19
- Stop
- 1995-01-19
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Ronnie Gleason
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-457b-31c27c42b0f5