Claim total
$1,061.21
base $93.83 · payer covered $848.95
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-04-10
- Stop
- 2024-04-10
The parties
- Patient
- patient Esther Kuhic
- Provider
- provider Anneliese Bradtke
- Payer
- payer Medicare
Record id
31ae0161-174f-fcf1-2a70-a869fd9c5151