Claim total
$641.13
base $93.83 · payer covered $541.13
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-02-15
- Stop
- 2025-02-15
The parties
- Patient
- patient Tyrone Gerry Nolan
- Provider
- provider In Reichert
- Payer
- payer Medicaid
Record id
0372df5d-1b51-df61-dcad-4d8a51c7ae44