Claim total
$1,115.71
base $93.83 · payer covered $709.28
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-03-04
- Stop
- 2014-03-04
The parties
- Patient
- patient Quentin Cruickshank
- Provider
- provider Phylis Lind
- Payer
- payer Medicare
Record id
06a762e8-e6a0-f3da-aa7a-c433d5b6a9f0