Claim total
$8,728.93
base $93.83 · payer covered $6,983.14
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-09-16
- Stop
- 2023-09-16
The parties
- Patient
- patient Porfirio West
- Provider
- provider Julene Lemke
- Payer
- payer Medicare
Record id
05880a71-6004-727f-22a6-3b797f9c72b7