Claim total
$1,614.04
base $93.83 · payer covered $1,291.21
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2007-05-27
- Stop
- 2007-05-27
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Jesse Turner
- Payer
- payer Medicare
Record id
058279b6-7701-4823-6186-e8059623e9e4