Claim total
$1,188.43
base $93.83 · payer covered $950.74
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-01-28
- Stop
- 2022-01-28
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider In Reichert
- Payer
- payer Medicare
Record id
035310e6-92e0-05c1-3334-754e1d0bdbb4