Claim total
$1,666.03
base $93.83 · payer covered $1,516.03
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1977-03-30
- Stop
- 1977-03-30
The parties
- Patient
- patient Shaina Wolff
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
131b868f-c77f-95c7-eaf3-ae82aae4e37c