Claim total
$710.78
base $93.83 · payer covered $568.62
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-01-08
- Stop
- 2022-01-08
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Robby Gusikowski
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-0a4c-e395f5fada6f