Claim total
$435.48
base $93.83 · payer covered $435.48
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-05-16
- Stop
- 2019-05-16
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Nestor Kling
- Payer
- payer Dual Eligible
Record id
062e401f-723c-d87d-d267-f406db742f70