Claim total
$1,318.01
base $93.83 · payer covered $868.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2007-05-31
- Stop
- 2007-05-31
The parties
- Patient
- patient Adolph Winford Hyatt
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Medicare
Record id
1da1ccef-4f88-f506-1d2b-d534cff7b12b