Claim total
$838.28
base $93.83 · payer covered $487.23
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-12-06
- Stop
- 2023-12-06
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Wesley Nader
- Payer
- payer Medicare
Record id
03d8f92f-53db-d7af-d822-393ad0483340