Claim total
$979.48
base $93.83 · payer covered $879.48
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-08-21
- Stop
- 2025-08-21
The parties
- Patient
- patient Demetrius Fabian Fahey
- Provider
- provider Wesley Nader
- Payer
- payer Medicaid
Record id
011d229d-4683-9f9e-8c6c-fe1f0982f55a