Claim total
$1,330.69
base $93.83 · payer covered $1,064.54
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-01-20
- Stop
- 2019-01-20
The parties
- Patient
- patient Grover Dario Welch
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
274aa74a-1b08-ee17-2046-bc7dda4dbf07