Claim total
$641.13
base $93.83 · payer covered $512.90
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1978-09-11
- Stop
- 1978-09-11
The parties
- Patient
- patient Ines Shiloh Jacobi
- Provider
- provider Arnulfo Hickle
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Medicare
Record id
25075e04-8a2f-41db-b6a0-ac213240e068