Claim total
$1,372.61
base $93.83 · payer covered $1,098.08
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-03-20
- Stop
- 2021-03-20
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Jared Berge
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-67d9-caac666808b5