Claim total
$1,062.28
base $93.83 · payer covered $849.82
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-05-30
- Stop
- 2022-05-30
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Samuel Boyle
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-5d54-96b14839f7a1