Claim total
$641.13
base $93.83 · payer covered $326.50
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-11-28
- Stop
- 2022-11-28
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Simon Tremblay
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-3676-c40d0beea2ca