Claim total
$1,602.75
base $93.83 · payer covered $1,502.75
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-03-08
- Stop
- 2020-03-08
The parties
- Patient
- patient Vernita Lona Prosacco
- Provider
- provider Nikia Mills
- Payer
- payer Medicaid
Record id
08fb9d8b-52e7-8882-6ece-6f77fa074cec