Claim total
$3,976.48
base $93.83 · payer covered $3,181.17
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-02-27
- Stop
- 2006-02-27
The parties
- Patient
- patient Earle Kenneth Kilback
- Provider
- provider Jesse Turner
- Payer
- payer Medicare
Record id
237ec528-3e88-a814-9472-da16e1d3f01f