Claim total
$1,112.41
base $93.83 · payer covered $1,112.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-03-06
- Stop
- 2024-03-06
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Wesley Nader
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-7738-0e0bb7e474f3