Claim total
$5,990.87
base $93.83 · payer covered $5,990.87
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-06-01
- Stop
- 2023-06-01
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Douglas Will
- Payer
- payer Medicaid
Record id
01e64c71-bb1e-2212-3303-e0450d203298