Claim total
$917.37
base $93.83 · payer covered $917.37
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-11-13
- Stop
- 2019-11-13
The parties
- Patient
- patient Joe Maximo Kozey
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
0135e6bd-cd4d-6318-c500-9a992c6594ea