Claim total
$3,900.74
base $93.83 · payer covered $3,120.58
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-09-04
- Stop
- 2021-09-04
The parties
- Patient
- patient Porfirio West
- Provider
- provider Jared Berge
- Payer
- payer Medicare
Record id
05880a71-6004-727f-0b34-56d1fb15ad7e