Claim total
$8,856.20
base $93.83 · payer covered $8,856.20
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-05-26
- Stop
- 2022-05-26
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Ronnie Gleason
- Payer
- payer Dual Eligible
Record id
01e64c71-bb1e-2212-f802-ff32b2612812