Claim total
$1,116.65
base $93.83 · payer covered $893.31
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-07-23
- Stop
- 2021-07-23
The parties
- Patient
- patient Ardith Anette Langosh
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
19d11b13-231e-035e-86a5-14e161a36674