Claim total
$641.13
base $93.83 · payer covered $512.90
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-10-06
- Stop
- 2023-10-06
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Randee Sawayn
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-d8c2-3108853b74f4