Claim total
$1,336.97
base $93.83 · payer covered $1,236.97
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-02-03
- Stop
- 2024-02-03
The parties
- Patient
- patient Bernard Gleichner
- Provider
- provider Lowell Blick
- Payer
- payer Medicaid
Record id
04317637-3b9f-f5e4-d7f3-f1db746dd11d