Claim total
$704.41
base $93.83 · payer covered $377.13
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-03-17
- Stop
- 2024-03-17
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Derick Feil
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-283f-bd1e19aa52ff