Claim total
$5,474.28
base $93.83 · payer covered $4,379.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-01-01
- Stop
- 2024-01-01
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Aaron Champlin
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-73e5-7fabdb8dc980