Claim total
$1,185.13
base $93.83 · payer covered $761.70
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-05-24
- Stop
- 2021-05-24
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Deana Welch
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-3b7b-1582a55a86e6