Claim total
$1,244.12
base $93.83 · payer covered $1,144.12
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-02-23
- Stop
- 2019-02-23
The parties
- Patient
- patient Jay Lawrence Gleichner
- Provider
- provider Nikia Mills
- Payer
- payer Medicaid
Record id
32da22ea-67d9-8935-2b77-0aa129fb71be