Claim total
$1,056.41
base $93.83 · payer covered $1,056.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-04-04
- Stop
- 2026-04-04
The parties
- Patient
- patient Clay Brandon Schuppe
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicaid
Record id
3310e903-3aa7-ca72-6405-bb64b9aafd26