Claim total
$960.52
base $93.83 · payer covered $860.52
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-05-06
- Stop
- 2020-05-06
The parties
- Patient
- patient Bell Casper
- Provider
- provider Nenita Glover
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
2363ad65-7b0d-dffb-3812-25696c96e807