Claim total
$505.13
base $93.83 · payer covered $353.59
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-07-08
- Stop
- 2025-07-08
The parties
- Patient
- patient Brian Becker
- Provider
- provider Anneliese Bradtke
Record id
02d05adc-d769-f526-a821-8e633a12280a