Claim total
$93.83
base $93.83 · payer covered $93.83
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-09-23
- Stop
- 2024-09-23
The parties
- Patient
- patient Cristy Pamella Moore
- Provider
- provider Sherwood Nicolas
- Payer
- payer Medicaid
Record id
012588b7-68ba-5ed1-8f53-ec8d137c682b