Claim total
$873.53
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-09-03
- Stop
- 2024-09-03
The parties
- Patient
- patient Brian Becker
- Provider
- provider Anneliese Bradtke
Record id
02d05adc-d769-f526-eb51-a59078f3745e