Claim total
$915.33
base $93.83 · payer covered $915.33
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-09-30
- Stop
- 2022-09-30
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Trent Kozey
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-d2b6-f614f395ef3f