Claim total
$916.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-03-22
- Stop
- 2018-03-22
The parties
- Patient
- patient Angelo Muller
- Provider
- provider Lowell Blick
- Payer
- payer Humana
Record id
036bf274-5bd6-d003-6b71-8da5c491f709