Claim total
$1,185.08
base $93.83 · payer covered $1,185.08
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-03-29
- Stop
- 2023-03-29
The parties
- Patient
- patient Dolores Elvira Cavazos
- Provider
- provider Amparo Pouros
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Medicaid
Record id
322b2c58-05f4-c3ad-d678-f138d25f5149