Claim total
$505.13
base $93.83 · payer covered $505.13
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-05-13
- Stop
- 2021-05-13
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Nestor Kling
- Payer
- payer Dual Eligible
Record id
062e401f-723c-d87d-e39a-79424157da44