Claim total
$1,074.61
base $93.83 · payer covered $1,024.61
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1993-06-30
- Stop
- 1993-07-01
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider George Rowe
- Payer
- payer Medicaid
Record id
03ef4f74-940b-d219-cd53-6abd6df7e007