Claim total
$846.78
base $93.83 · payer covered $846.78
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-08-27
- Stop
- 2022-08-27
The parties
- Patient
- patient Barry Adam Heller
- Provider
- provider Ruben Farrell
- Payer
- payer Dual Eligible
Record id
02680c28-26cc-4bca-7223-78c804520d6d