Claim total
$973.34
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-04-29
- Stop
- 2020-04-29
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider David Klein
- Payer
- payer Aetna
Record id
0190d3b1-c50c-bf7b-df89-a06d4695d851