Claim total
$8,076.37
base $93.83 · payer covered $6,461.08
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2007-05-16
- Stop
- 2007-05-16
The parties
- Patient
- patient Jody Shoshana Powlowski
- Provider
- provider Ronnie Gleason
- Payer
- payer Medicare
Record id
226e0527-4c40-2548-225c-8eb2155ef3ad