Claim total
$979.43
base $93.83 · payer covered $597.13
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2002-10-29
- Stop
- 2002-10-29
The parties
- Patient
- patient Kenny Goldner
- Provider
- provider Phylis Lind
- Payer
- payer Medicare
Record id
12ea5fbe-2a75-7aca-e87c-1df1df0a0b9f