Claim total
$963.90
base $93.83 · payer covered $771.10
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-06-10
- Stop
- 2026-06-10
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Remona Sanford
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-280b-eca605d97f07