Claim total
$1,342.05
base $93.83 · payer covered $1,073.63
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-11-09
- Stop
- 2025-11-09
The parties
- Provider
- provider Trent Kozey
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-c215-abfd057c162b