Claim total
$840.41
base $93.83 · payer covered $740.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-11-09
- Stop
- 2013-11-09
The parties
- Patient
- patient Scott Macejkovic
- Provider
- provider Honey Feil
- Payer
- payer Medicaid
Record id
19eb005b-03f8-dfb6-fe00-d15b651bf2d7