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Visit

Well child visit

One dated clinical visit by one patient.

Claim total
$1,117.44
base $93.83 · payer covered $0.00

The visit

Class
Wellness
Code
410620009
Reason
—
Start
2024-11-12
Stop
2024-11-12

The parties

Payer
payer Humana
Record id 01552496-8a29-5071-3950-9cbb710d65da