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Visit

Well child visit

One dated clinical visit by one patient.

Claim total
$1,501.75
base $93.83 · payer covered $0.00

The visit

Class
Wellness
Code
410620009
Reason
—
Start
2025-05-13
Stop
2025-05-13

The parties

Payer
payer Humana
Record id 01552496-8a29-5071-8ea4-c7e5e25622e0