Claim total
$1,517.57
base $93.83 · payer covered $1,214.04
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-01-14
- Stop
- 2026-01-15
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Kenneth Mayert
- Payer
- payer Medicare
Record id
03ef4f74-940b-d219-bb27-82a6fc7fbbf8