Claim total
$1,488.12
base $93.83 · payer covered $1,488.12
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-08-02
- Stop
- 2006-08-02
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Kim Lind
- Payer
- payer Medicaid
Record id
0324eea5-bb16-c29a-fd02-1726d5a818ce