Claim total
$973.34
base $93.83 · payer covered $873.34
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-07-04
- Stop
- 2024-07-04
The parties
- Patient
- patient Cathryn Kandy Smith
- Provider
- provider Brandi Kessler
- Payer
- payer Medicaid
Record id
038ad96a-9908-2f0d-60e1-c00ea4fd1ddc