Claim total
$1,318.01
base $93.83 · payer covered $1,054.39
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-07
- Stop
- 2025-04-07
The parties
- Patient
- patient Herbert Dorian Hickle
- Provider
- provider Carl Kling
- Payer
- payer Medicare
Record id
0eddbb62-87a6-7f0d-4d7f-e8809eef7b46