Claim total
$1,182.06
base $93.83 · payer covered $759.24
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-05-16
- Stop
- 2023-05-16
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider In Reichert
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-9469-4e8a345e2090