Claim total
$910.06
base $93.83 · payer covered $541.64
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-09-15
- Stop
- 2023-09-15
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider Frieda Goodwin
- Payer
- payer Medicare
Record id
02579c91-f636-e7d1-60c1-2f45b0eb8687