Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-06-13
- Stop
- 2018-06-13
The parties
- Patient
- patient Miles Auer
- Provider
- provider Kathern Krajcik
- Care site
- care site FAMILY LINK SOCIAL SERVICES
- Payer
- payer Aetna
Record id
02b37b89-9593-6a10-da1d-5fab913b8148