Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-11-05
- Stop
- 2024-11-05
The parties
- Patient
- patient Brian Becker
- Provider
- provider Julene Lemke
Record id
02d05adc-d769-f526-8335-200836119916