Claim total
$777.13
base $93.83 · payer covered $627.13
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2005-07-27
- Stop
- 2005-07-27
The parties
- Patient
- patient Wyatt Lewis McGlynn
- Provider
- provider Nikia Mills
- Payer
- payer Medicaid
Record id
0123b099-d1de-2c0a-2b5f-374d5f1e8714