Claim total
$641.13
base $93.83 · payer covered $512.90
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-09-01
- Stop
- 2017-09-01
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Trent Kozey
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-b3c7-e77974a9c3d8