Claim total
$1,115.71
base $93.83 · payer covered $892.56
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1993-02-01
- Stop
- 1993-02-01
The parties
- Patient
- patient Eddie Byron McClure
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
0681fdac-334f-0741-f794-7293e0f41382