Claim total
$1,593.21
base $93.83 · payer covered $1,088.94
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-04-18
- Stop
- 2026-04-18
The parties
- Patient
- patient Jeremy Gregory Jacobson
- Provider
- provider Nikia Mills
- Payer
- payer Medicare
Record id
04f9baea-0c64-12b2-4d79-568f003fbecc