Claim total
$1,178.99
base $93.83 · payer covered $1,078.99
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-02-20
- Stop
- 2026-02-20
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
035310e6-92e0-05c1-8311-e05ebe608fd5