Claim total
$1,527.01
base $93.83 · payer covered $1,427.01
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-07-07
- Stop
- 2023-07-07
The parties
- Patient
- patient Lee Scot Rosenbaum
- Provider
- provider Trisha Gleason
- Payer
- payer Medicaid
Record id
027e2621-860b-6019-dcf3-b623828af47b