Claim total
$1,169.55
base $93.83 · payer covered $935.62
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-01-29
- Stop
- 1989-01-29
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Jesse Turner
- Payer
- payer Medicare
Record id
058279b6-7701-4823-e1b4-909e63a1884c