Claim total
$838.28
base $93.83 · payer covered $484.21
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-03-23
- Stop
- 2026-03-23
The parties
- Patient
- patient Abigail Erica Sauer
- Provider
- provider Remona Sanford
- Payer
- payer Medicare
Record id
026ed208-10c9-c46f-de4b-a44f1bc6c63b