Claim total
$13,104.77
base $93.83 · payer covered $13,054.77
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1998-05-19
- Stop
- 1998-05-19
The parties
- Provider
- provider Wesley Nader
- Payer
- payer Medicaid
Record id
0126321a-a5af-784d-24a5-91a9b26d2a39