Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-01-08
- Stop
- 2021-01-08
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Jesse Turner
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-8d6b-be84aea1f925