Claim total
$7,876.66
base $93.83 · payer covered $7,726.66
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1978-11-11
- Stop
- 1978-11-11
The parties
- Patient
- patient Arnold O'Keefe
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer Medicaid
Record id
265323f0-0943-a199-c42c-011825b8e6cb