Claim total
$982.93
base $93.83 · payer covered $982.93
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-11-28
- Stop
- 2024-11-28
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Nestor Kling
- Payer
- payer Dual Eligible
Record id
062e401f-723c-d87d-41dc-d8ff08564185