Claim total
$229.83
base $93.83 · payer covered $160.88
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-12-07
- Stop
- 2023-12-07
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Randee Sawayn
Record id
063478ae-8114-83fa-5d55-02a4aede268b