Claim total
$704.41
base $93.83 · payer covered $563.52
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-12-11
- Stop
- 2022-12-11
The parties
- Patient
- patient Weldon Normand Rohan
- Provider
- provider Julene Lemke
- Payer
- payer Medicare
Record id
07811815-599c-8e38-16ce-dae78d267034