Claim total
$1,553.56
base $93.83 · payer covered $1,058.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2012-02-22
- Stop
- 2012-02-22
The parties
- Patient
- patient Clarence Oberbrunner
- Provider
- provider Wesley Nader
- Payer
- payer Medicare
Record id
3ae407fa-7b32-4ba2-3a06-a57d56196043