Claim total
$1,592.31
base $93.83 · payer covered $1,087.43
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-11-04
- Stop
- 2022-11-04
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-ff30-f8fc8ad629df