Claim total
$1,399.26
base $93.83 · payer covered $933.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-05-21
- Stop
- 2024-05-21
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider In Reichert
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-bc55-0df1a6294cb3