Claim total
$1,286.14
base $93.83 · payer covered $847.38
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-12-17
- Stop
- 2025-12-17
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Wesley Nader
- Payer
- payer Medicare
Record id
03d8f92f-53db-d7af-d5ab-91eee13608f9