Claim total
$777.13
base $93.83 · payer covered $621.70
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-02-17
- Stop
- 2000-02-17
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Ronnie Gleason
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-b610-3fc0ce081320