Claim total
$12,642.01
base $93.83 · payer covered $12,607.01
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1993-04-20
- Stop
- 1993-04-20
The parties
- Provider
- provider Wesley Nader
- Payer
- payer Dual Eligible
Record id
0126321a-a5af-784d-5179-e85d733c6781