Claim total
$719.03
base $93.83 · payer covered $575.22
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-03-05
- Stop
- 2020-03-05
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Wesley Nader
- Payer
- payer Medicare
Record id
056f2732-3438-a432-cbb1-b1f930e209eb