Claim total
$3,971.33
base $93.83 · payer covered $3,177.05
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-11-05
- Stop
- 2021-11-05
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Lowell Blick
- Payer
- payer Medicare
Record id
04384da7-7311-e99a-df94-cdc1cd647b77