Claim total
$916.15
base $93.83 · payer covered $816.15
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-01-29
- Stop
- 2022-01-29
The parties
- Patient
- patient Bernard Gleichner
- Provider
- provider Simon Tremblay
- Payer
- payer Medicaid
Record id
04317637-3b9f-f5e4-b4a9-753c7caef95b