Claim total
$913.08
base $93.39 · payer covered $854.07
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2026-09-16
- Stop
- 2026-09-16
The parties
- Patient
- patient Wyatt Lewis McGlynn
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0123b099-d1de-2c0a-8c5a-24c9f598797f