Claim total
$973.83
base $93.83 · payer covered $973.83
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-09-07
- Stop
- 2024-09-07
The parties
- Patient
- patient Barry Adam Heller
- Provider
- provider Sherwood Nicolas
- Payer
- payer Dual Eligible
Record id
02680c28-26cc-4bca-47c1-7658a76beb72