Claim total
$1,115.43
base $93.83 · payer covered $707.05
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-05-18
- Stop
- 2008-05-18
The parties
- Patient
- patient Artie Elina King
- Provider
- provider Douglas Will
- Payer
- payer Medicare
Record id
071aacd8-f229-0ab3-1f13-c36e6665a51c