Claim total
$982.78
base $93.83 · payer covered $982.78
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2020-11-19
- Stop
- 2020-11-19
The parties
- Patient
- patient Royce Peter Wolf
- Provider
- provider David Klein
- Payer
- payer Dual Eligible
Record id
04658673-6112-6940-66b6-2eb98ccb1bd1