Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-02-27
- Stop
- 2024-02-27
The parties
- Patient
- patient Stanford Vince Leffler
- Provider
- provider Brenda Moore
- Payer
- payer No insurance
Record id
06259815-ec7f-628d-fe62-eeeb0d8159c1