Claim total
$1,220.17
base $93.83 · payer covered $789.74
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-09-19
- Stop
- 2024-09-19
The parties
- Patient
- patient Orlando Reinaldo Cronin
- Provider
- provider In Reichert
- Payer
- payer Medicare
Record id
016cc543-ba51-79f8-ec9b-67b9b9e264ee