Claim total
$847.72
base $93.83 · payer covered $678.17
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-03-26
- Stop
- 2022-03-26
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Julene Lemke
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-d0ff-631c4725fd64