Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-03-11
- Stop
- 2021-03-11
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Randee Sawayn
Record id
063478ae-8114-83fa-09be-f2d77506eb74