Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-09-02
- Stop
- 2022-09-02
The parties
- Patient
- patient Valentine Spencer Cole
- Provider
- provider Izola Wuckert
- Payer
- payer Anthem
Record id
00a9c741-f837-12c0-b953-a38fedc32630