Claim total
$1,322.30
base $93.83 · payer covered $871.43
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-11-21
- Stop
- 2025-11-21
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-3e20-e43b2d230f99