Claim total
$910.06
base $93.83 · payer covered $545.82
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-03-23
- Stop
- 2023-03-23
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Magen Mertz
- Payer
- payer Medicare
Record id
056f2732-3438-a432-c443-17bb967a3d52