Claim total
$985.80
base $93.83 · payer covered $835.80
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1988-04-05
- Stop
- 1988-04-05
The parties
- Patient
- patient Aron Jon Steuber
- Provider
- provider In Reichert
- Payer
- payer Medicaid
Record id
0e80cbd8-3263-7fa4-572d-7bcc7150b35b