Claim total
$985.80
base $93.83 · payer covered $835.80
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1978-09-08
- Stop
- 1978-09-08
The parties
- Patient
- patient Neta Merlyn Jacobi
- Provider
- provider Jesse Turner
- Payer
- payer Medicaid
Record id
23e58a81-7a21-4aa2-545d-dda2a0b75be2