Claim total
$982.78
base $93.83 · payer covered $599.82
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-09-02
- Stop
- 2025-09-02
The parties
- Patient
- patient Amalia Ana María Soliz
- Provider
- provider Deana Welch
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
007eb971-e9c1-129f-7e6f-7b79fad9cd63