Claim total
$1,529.02
base $93.83 · payer covered $1,038.36
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-04-01
- Stop
- 2023-04-01
The parties
- Patient
- patient Jeremy Gregory Jacobson
- Provider
- provider Trent Kozey
- Payer
- payer Medicare
Record id
04f9baea-0c64-12b2-868e-c887c2dfb4bb