Claim total
$1,434.10
base $93.83 · payer covered $1,334.10
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-07-03
- Stop
- 2024-07-03
The parties
- Patient
- patient Nicolas Spencer
- Provider
- provider Phylis Lind
- Payer
- payer Medicaid
Record id
12d6a3b3-a0f0-446e-02a1-8bccf05c213a