Claim total
$1,208.35
base $93.83 · payer covered $966.67
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-03-02
- Stop
- 2017-03-02
The parties
- Patient
- patient Minnie Glenna Hilpert
- Provider
- provider Lowell Blick
- Payer
- payer Medicare
Record id
164073e3-ecac-90a2-7b66-35b39ed381df