Claim total
$1,679.76
base $93.83 · payer covered $1,343.80
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-11-06
- Stop
- 2024-11-06
The parties
- Patient
- patient Josh Shane Leannon
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicare
Record id
1476d15d-eaee-a45a-194d-67983c56388a