Claim total
$93.83
base $93.83 · payer covered $93.83
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-04-07
- Stop
- 2019-04-07
The parties
- Patient
- patient Abdul Sammie Spencer
- Provider
- provider Randee Sawayn
- Payer
- payer Medicaid
Record id
009b9fb1-8515-f33d-82a9-5f9a62a83b37