Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-03-06
- Stop
- 2021-03-06
The parties
- Patient
- patient Valentine Terrence Runte
- Provider
- provider David Klein
- Payer
- payer Cigna Health
Record id
2a4d3a66-271c-bb09-89eb-d20b2e2e9d9f