Claim total
$910.06
base $93.83 · payer covered $728.04
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-06-17
- Stop
- 2021-06-18
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Vanda Lebsack
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-bf8f-a01f0a06d5b7