Claim total
$711.72
base $93.83 · payer covered $711.72
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-11-07
- Stop
- 2018-11-07
The parties
- Patient
- patient Joe Maximo Kozey
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
0135e6bd-cd4d-6318-b410-fc2735bddcbd