Claim total
$843.43
base $93.83 · payer covered $693.43
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1979-10-06
- Stop
- 1979-10-06
The parties
- Patient
- patient Edison Sterling Batz
- Provider
- provider Phylis Lind
- Payer
- payer Medicaid
Record id
08777515-d11a-6c50-a3f1-a83d4d20ad43