Claim total
$704.41
base $93.83 · payer covered $604.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-03-31
- Stop
- 2014-03-31
The parties
- Patient
- patient Bronwyn Pfeffer
- Provider
- provider Beatriz Swift
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Medicaid
Record id
254410cf-1601-f80a-9f18-ecc31d0bc667