Claim total
$3,971.95
base $93.83 · payer covered $3,936.95
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-04-09
- Stop
- 1991-04-09
The parties
- Provider
- provider Wesley Nader
- Payer
- payer Dual Eligible
Record id
0126321a-a5af-784d-db65-0a0669854586