Claim total
$435.48
base $93.83 · payer covered $335.48
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2020-01-18
- Stop
- 2020-01-18
The parties
- Patient
- patient Tyrone Gerry Nolan
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
0372df5d-1b51-df61-b6d9-810dd3dfb9e0