Claim total
$980.65
base $93.83 · payer covered $784.51
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-04-01
- Stop
- 2023-04-01
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Simon Tremblay
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-789e-609bb95bc527