Claim total
$840.41
base $93.83 · payer covered $840.41
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-08-21
- Stop
- 2021-08-21
The parties
- Patient
- patient Barry Adam Heller
- Provider
- provider Trisha Gleason
- Payer
- payer Dual Eligible
Record id
02680c28-26cc-4bca-16aa-22a42ac0f84a