Claim total
$767.69
base $93.83 · payer covered $432.42
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1985-06-26
- Stop
- 1985-06-26
The parties
- Patient
- patient Brent Collins
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicare
Record id
2e1faf61-63f6-ea99-a2b0-acd94fd8968d