Claim total
$979.48
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-01-07
- Stop
- 2025-01-07
The parties
- Patient
- patient Brian Becker
- Provider
- provider Simon Tremblay
Record id
02d05adc-d769-f526-a472-5cd4c9fa719d