Claim total
$1,517.57
base $93.83 · payer covered $1,517.57
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-11-02
- Stop
- 2022-11-02
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-c7a0-e0a89236ab53