Claim total
$641.13
base $93.83 · payer covered $491.13
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1986-05-14
- Stop
- 1986-05-14
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicaid
Record id
0324eea5-bb16-c29a-3be5-52bee96fbee4