Claim total
$1,241.05
base $93.83 · payer covered $806.42
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-10-20
- Stop
- 2017-10-20
The parties
- Patient
- patient Talia Cherelle Lind
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicare
Record id
0aa36257-00e8-ccfa-88ca-9b7a9020ed59