Claim total
$641.13
base $93.83 · payer covered $329.62
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-11-18
- Stop
- 1989-11-18
The parties
- Patient
- patient Brittaney Nichelle Veum
- Provider
- provider Vanda Lebsack
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicare
Record id
0968e8e4-3725-c436-f561-8b79fcebc296