Claim total
$293.11
base $93.83 · payer covered $193.11
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2016-12-31
- Stop
- 2016-12-31
The parties
- Patient
- patient Tyrone Gerry Nolan
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
0372df5d-1b51-df61-9f8a-c1794d34d1a1