Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-04-01
- Stop
- 2015-04-01
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Wesley Nader
- Payer
- payer Aetna
Record id
0190d3b1-c50c-bf7b-fa3b-204d9dc0a0e6