Claim total
$3,837.46
base $93.83 · payer covered $3,069.96
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-08-12
- Stop
- 2017-08-12
The parties
- Patient
- patient Porfirio West
- Provider
- provider Julene Lemke
- Payer
- payer Medicare
Record id
05880a71-6004-727f-eff3-5970194eb7a8