Claim total
$1,123.02
base $93.83 · payer covered $712.01
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-06-02
- Stop
- 2026-06-02
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider In Reichert
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-dd8a-ae2c784d1401