Claim total
$916.43
base $93.83 · payer covered $733.14
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-09-20
- Stop
- 2024-09-20
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider Frieda Goodwin
- Payer
- payer Medicare
Record id
02579c91-f636-e7d1-a770-3f6667f0fac8