Claim total
$93.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2020-11-03
- Stop
- 2020-11-03
The parties
- Patient
- patient Evangeline Kasha Schaden
- Provider
- provider Nenita Glover
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
0632026e-bab4-0d77-c8dc-f1b89c5ff64b