Claim total
$293.11
base $93.83 · payer covered $193.11
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2017-12-07
- Stop
- 2017-12-07
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Nestor Kling
- Payer
- payer Medicaid
Record id
062e401f-723c-d87d-6bb3-49bb6dd0075f