Claim total
$775.00
base $93.83 · payer covered $436.71
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-11-10
- Stop
- 2015-11-10
The parties
- Patient
- patient Kenny Goldner
- Provider
- provider Phylis Lind
- Payer
- payer Medicare
Record id
12ea5fbe-2a75-7aca-7329-87222ffa5094