Claim total
$704.41
base $93.83 · payer covered $382.58
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-07-01
- Stop
- 2020-07-01
The parties
- Patient
- patient Delmer Maynard Kris
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
0b575b03-961f-f971-50e9-7d7457c9ddc9