Claim total
$602.85
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-07-29
- Stop
- 2022-07-29
The parties
- Patient
- patient Valentine Spencer Cole
- Provider
- provider Joetta Crooks
- Payer
- payer Anthem
Record id
00a9c741-f837-12c0-2638-cb463c0f4b85