Claim total
$846.78
base $93.83 · payer covered $491.02
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-11-16
- Stop
- 2020-11-16
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Jared Berge
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-a943-00a0c61c8924