Claim total
$641.13
base $93.83 · payer covered $326.50
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2026-06-22
- Stop
- 2026-06-22
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-b83c-5b1e3d72770c