Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-10-12
- Stop
- 2022-10-12
The parties
- Patient
- patient Johnathon Enrique Herzog
- Provider
- provider Arnulfo Hickle
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer No insurance
Record id
01f4bd01-9c32-7236-1a42-ae46d1c41734