Claim total
$711.72
base $93.83 · payer covered $611.72
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-06-17
- Stop
- 2021-06-17
The parties
- Patient
- patient Cathryn Kandy Smith
- Provider
- provider Brandi Kessler
- Payer
- payer Medicaid
Record id
038ad96a-9908-2f0d-4ad2-0f3437080e57