Claim total
$11,981.99
base $93.83 · payer covered $9,585.58
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-08-01
- Stop
- 2015-08-01
The parties
- Patient
- patient Porfirio West
- Provider
- provider Jared Berge
- Payer
- payer Medicare
Record id
05880a71-6004-727f-8288-0c6c85a56fae