Claim total
$704.41
base $93.83 · payer covered $604.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-08-21
- Stop
- 2024-08-21
The parties
- Patient
- patient Wyatt Lewis McGlynn
- Provider
- provider Randee Sawayn
- Payer
- payer Medicaid
Record id
0123b099-d1de-2c0a-98de-1a27fe03d73e