Claim total
$1,336.97
base $93.83 · payer covered $1,236.97
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-03-29
- Stop
- 2008-03-29
The parties
- Patient
- patient Bernard Gleichner
- Provider
- provider Jared Berge
- Payer
- payer Medicaid
Record id
04317637-3b9f-f5e4-e5c3-cec2b958429a