Claim total
$933.16
base $93.83 · payer covered $746.52
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-07-14
- Stop
- 2013-07-14
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider In Reichert
- Payer
- payer Medicare
Record id
058279b6-7701-4823-d0f4-fdfe34cb8f06