Claim total
$711.72
base $93.83 · payer covered $382.97
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-07-26
- Stop
- 2000-07-26
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Wesley Nader
- Payer
- payer Medicare
Record id
03d8f92f-53db-d7af-f74c-7878ff8b9a5b