Claim total
$4,246.58
base $93.83 · payer covered $4,211.58
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1995-05-02
- Stop
- 1995-05-02
The parties
- Provider
- provider Wesley Nader
- Payer
- payer Dual Eligible
Record id
0126321a-a5af-784d-8cb2-1e16c948113a