Claim total
$435.48
base $93.83 · payer covered $435.48
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2015-10-06
- Stop
- 2015-10-06
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-a143-9997c96179f9