Claim total
$13,801.53
base $93.83 · payer covered $11,041.22
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-09-02
- Stop
- 2026-09-02
The parties
- Patient
- patient Ellis Dooley
- Provider
- provider Rocco Wehner
- Payer
- payer Medicare
Record id
102ec4ce-836b-a335-84d4-25672e54d2f5