Claim total
$983.54
base $93.83 · payer covered $786.83
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-04-07
- Stop
- 2023-04-07
The parties
- Patient
- patient Valentine Spencer Cole
- Provider
- provider Sylvester Bartoletti
- Payer
- payer Anthem
Record id
00a9c741-f837-12c0-1ce8-aa7b652da3cd