Claim total
$1,685.62
base $93.83 · payer covered $1,162.08
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-07-03
- Stop
- 2025-07-03
The parties
- Patient
- patient Jim Mickey Dooley
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
2dd73ae7-e48b-31a9-3377-8389ee446d80