Claim total
$1,163.56
base $93.83 · payer covered $744.44
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-03-23
- Stop
- 2025-03-23
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Arnulfo Hickle
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-c256-b0679ed1ba3f