Claim total
$836.12
base $93.83 · payer covered $482.49
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-01-25
- Stop
- 2021-01-25
The parties
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicare
Record id
1f9b5259-0f70-55cf-5412-f35879263eb3