Claim total
$838.28
base $93.83 · payer covered $838.28
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-01-24
- Stop
- 2021-01-24
The parties
- Patient
- patient Adrian Grady O'Keefe
- Provider
- provider Wesley Nader
- Payer
- payer Medicaid
Record id
00a9bdc8-6b4d-5df7-8501-66d1d1451ae7