Claim total
$767.69
base $93.83 · payer covered $427.75
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1987-09-20
- Stop
- 1987-09-20
The parties
- Provider
- provider Trent Kozey
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-f2fe-29b9c83cfa1c