Claim total
$906.71
base $93.83 · payer covered $538.96
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-03-24
- Stop
- 2014-03-24
The parties
- Patient
- patient Lynda Laquanda Muller
- Provider
- provider Phylis Lind
- Payer
- payer Medicare
Record id
3560366b-1272-9526-7123-323f6c0c4c0e