Claim total
$918.17
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-12-09
- Stop
- 2021-12-09
The parties
- Patient
- patient Herb Dennis Cronin
- Provider
- provider Trent Kozey
Record id
063478ae-8114-83fa-a274-1793bb7c36a1