Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-09-11
- Stop
- 2020-09-11
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
Record id
00cb11fd-f3f7-0950-36ad-001a12bcddd3