Claim total
$11,390.16
base $93.83 · payer covered $9,112.12
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-09-21
- Stop
- 2024-09-21
The parties
- Patient
- patient Porfirio West
- Provider
- provider Julene Lemke
- Payer
- payer Medicare
Record id
05880a71-6004-727f-7593-c0161f72a76e