Claim total
$772.84
base $93.83 · payer covered $434.08
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-01-09
- Stop
- 2020-01-09
The parties
- Patient
- patient Lorenzo Ramiro Melgar
- Provider
- provider Lizeth Schiller
- Payer
- payer Medicare
Record id
17370847-0ea5-3761-5ac9-8a5be411cdc1