Claim total
$1,154.49
base $93.83 · payer covered $744.72
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-02-22
- Stop
- 2018-02-22
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Wesley Nader
- Payer
- payer Medicare
Record id
056f2732-3438-a432-445a-7dc4f8756172