Claim total
$1,527.01
base $93.83 · payer covered $1,427.01
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-06-06
- Stop
- 2019-06-06
The parties
- Patient
- patient Cathryn Kandy Smith
- Provider
- provider Brandi Kessler
- Payer
- payer Medicaid
Record id
038ad96a-9908-2f0d-93ba-7c2abb9d3acd