Claim total
$773.83
base $93.83 · payer covered $773.83
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-02-14
- Stop
- 2019-02-14
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Nestor Kling
- Payer
- payer Dual Eligible
Record id
062e401f-723c-d87d-d7f2-cf2645ccf58f