Claim total
$1,463.73
base $93.83 · payer covered $1,024.61
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-09-08
- Stop
- 2017-09-08
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
Record id
00cb11fd-f3f7-0950-771b-af70de0d4469