Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-06-12
- Stop
- 2023-06-12
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Anthem
Record id
006af299-d813-2b4f-f7a9-56ef0657211c