Claim total
$1,132.93
base $93.83 · payer covered $906.34
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-09-24
- Stop
- 2021-09-24
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Trent Kozey
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-3369-a3669a1517b1