Claim total
$612.79
base $93.83 · payer covered $612.79
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2018-11-15
- Stop
- 2018-11-15
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Nestor Kling
- Payer
- payer Medicaid
Record id
062e401f-723c-d87d-78bf-1d527d35b109