Claim total
$7,900.73
base $93.83 · payer covered $6,134.17
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1992-11-14
- Stop
- 1992-11-14
The parties
- Patient
- patient Hung Jamaal Schmitt
- Provider
- provider Elbert Schaefer
- Payer
- payer Medicare
Record id
0e1d9890-92e3-08a2-0dff-37dcc01c2b63