Claim total
$704.41
base $93.83 · payer covered $563.52
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-12-03
- Stop
- 2020-12-03
The parties
- Provider
- provider Rodrick Moen
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-e361-dba92fd0fd84