Claim total
$1,049.44
base $93.83 · payer covered $839.54
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-03-30
- Stop
- 2021-03-30
The parties
- Patient
- patient Ken Denis Bruen
- Provider
- provider Jared Berge
- Payer
- payer Medicare
Record id
2c1903af-1e0f-9f28-a8db-4d4cd2e7439e