Claim total
$775.00
base $93.83 · payer covered $619.99
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-02-22
- Stop
- 2021-02-22
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Wesley Nader
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-02f7-8dc6848ab46c