Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1952-07-09
- Stop
- 1952-07-09
The parties
- Patient
- patient Trevor Darrick Legros
- Provider
- provider Anneliese Bradtke
- Payer
- payer No insurance
Record id
216fad95-7533-5170-b25a-79b482ac7722