Claim total
$1,802.03
base $93.83 · payer covered $1,702.03
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-02-26
- Stop
- 2016-02-27
The parties
- Patient
- patient Rhett O'Hara
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicaid
Record id
24893e34-461b-e4b2-5266-6277eb0c6e68