Claim total
$3,837.46
base $93.83 · payer covered $3,069.96
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-09-10
- Stop
- 2022-09-10
The parties
- Patient
- patient Porfirio West
- Provider
- provider Jared Berge
- Payer
- payer Medicare
Record id
05880a71-6004-727f-aa41-3ddfb4fc2964