Claim total
$641.13
base $93.83 · payer covered $329.62
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-04-08
- Stop
- 2020-04-08
The parties
- Patient
- patient Libby Hettie Cruickshank
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
1a6a8fff-e731-ef09-c13b-7b63d98e5f0b