Claim total
$704.41
base $93.83 · payer covered $378.11
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-04-06
- Stop
- 2024-04-06
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Anneliese Bradtke
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-aeb8-ef3b8c847c5a