Claim total
$1,654.60
base $93.83 · payer covered $1,554.60
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-01-29
- Stop
- 2022-01-29
The parties
- Patient
- patient Harry Will Streich
- Provider
- provider Wesley Nader
- Payer
- payer Medicaid
Record id
0399299d-024a-c139-2379-ba64dcc54643