Claim total
$985.80
base $93.83 · payer covered $885.80
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-05-03
- Stop
- 2014-05-03
The parties
- Patient
- patient Berta María José Anaya
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
1c7e06b6-7da5-69dd-eaf9-813f1b12900e