Claim total
$93.83
base $93.83 · payer covered $93.83
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-07-08
- Stop
- 2019-07-08
The parties
- Patient
- patient Coretta Philomena Boyle
- Provider
- provider Nikia Mills
- Payer
- payer Medicaid
Record id
06293262-0c72-c029-b613-4e4363e62b3a