Claim total
$916.43
base $93.83 · payer covered $641.50
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-06-08
- Stop
- 2023-06-08
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Trent Kozey
Record id
063478ae-8114-83fa-08c1-f0a810ed9c7f