Claim total
$1,309.52
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-06-06
- Stop
- 2022-06-06
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Anthem
Record id
006af299-d813-2b4f-ffb3-d1bfb1d7047b