Claim total
$2,074.03
base $93.83 · payer covered $1,974.03
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-05-13
- Stop
- 2023-05-13
The parties
- Patient
- patient Earle Mohammed Murray
- Provider
- provider Remona Sanford
- Payer
- payer Medicaid
Record id
0e32ffa5-7e39-6336-113f-a19021dd1fb0