Claim total
$910.06
base $93.83 · payer covered $541.64
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1986-12-04
- Stop
- 1986-12-04
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Ronnie Gleason
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-a4f4-1ee036d65c91