Claim total
$767.69
base $93.83 · payer covered $667.69
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-08-18
- Stop
- 2021-08-19
The parties
- Patient
- patient Wyatt Lewis McGlynn
- Provider
- provider Nikia Mills
- Payer
- payer Medicaid
Record id
0123b099-d1de-2c0a-2c08-625fa7be345b