Claim total
$985.80
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-11-15
- Stop
- 2008-11-16
The parties
- Patient
- patient Huong Verla Wilderman
- Provider
- provider David Klein
- Payer
- payer Anthem
Record id
3457d972-15d5-e8c6-d613-c7fb2d4a3d92