Claim total
$1,413.30
base $93.83 · payer covered $944.23
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-03-06
- Stop
- 2022-03-06
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Jerold Bednar
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-52a4-1222ee927d95