Claim total
$1,470.57
base $93.83 · payer covered $1,470.57
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-11-05
- Stop
- 2014-11-06
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider George Rowe
- Payer
- payer Medicaid
Record id
03ef4f74-940b-d219-e4a6-ebcf8adcc397