Claim total
$872.34
base $93.83 · payer covered $697.87
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-06-10
- Stop
- 2024-06-10
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Luisa Wilkinson
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-ebde-55e4ef8a2f63