Claim total
$2,031.93
base $93.83 · payer covered $1,439.14
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-05-10
- Stop
- 2022-05-10
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider In Reichert
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-85d4-0bfdee5280e2