Claim total
$220.39
base $93.83 · payer covered $176.30
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-05-22
- Stop
- 2024-05-22
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider David Klein
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-598a-8b12f52898a1