Claim total
$846.78
base $93.83 · payer covered $846.78
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-01-12
- Stop
- 2019-01-12
The parties
- Patient
- patient Tyrone Gerry Nolan
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
0372df5d-1b51-df61-3993-35fd2f37ef59