Claim total
$4,981.80
base $93.83 · payer covered $3,985.43
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-11-11
- Stop
- 2022-11-11
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Jared Berge
- Payer
- payer Medicare
Record id
04384da7-7311-e99a-ca4b-349e09911c1d