Claim total
$1,508.84
base $93.83 · payer covered $1,095.38
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-05-27
- Stop
- 2025-05-27
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Jesse Turner
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-da24-85868f8ded7f