Claim total
$435.48
base $93.83 · payer covered $335.48
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-06-30
- Stop
- 2024-06-30
The parties
- Patient
- patient Eleonora Elfriede Johns
- Provider
- provider Kathern Krajcik
- Care site
- care site FAMILY LINK SOCIAL SERVICES
- Payer
- payer Medicaid
Record id
059d8239-ee62-6881-cd3d-f7aa3d530261