Claim total
$846.78
base $93.83 · payer covered $746.78
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2018-10-23
- Stop
- 2018-10-23
The parties
- Patient
- patient Evangeline Kasha Schaden
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
0632026e-bab4-0d77-6c11-d3ae995516d4