Claim total
$1,249.58
base $93.83 · payer covered $819.92
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1982-02-15
- Stop
- 1982-02-15
The parties
- Patient
- patient Niesha Versie Medhurst
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicare
Record id
368e2682-1863-e9f9-f8bc-a3faa6d6baa4