Claim total
$229.83
base $93.83 · payer covered $183.86
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2020-05-18
- Stop
- 2020-05-18
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Luisa Wilkinson
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-2499-b5447f6bb6d1