Claim total
$1,835.18
base $125.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 453131000124105
- Reason
- —
- Start
- 2025-04-23
- Stop
- 2025-04-23
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-3a61-ed77baaa927c