Claim total
$780.15
base $93.83 · payer covered $780.15
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-03-13
- Stop
- 2019-03-13
The parties
- Patient
- patient Emmett Cartwright
- Provider
- provider George Rowe
- Payer
- payer Medicaid
Record id
329eec8e-644c-f8e3-b071-9db23669809b