Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-09-28
- Stop
- 2025-09-28
The parties
- Patient
- patient Ulysses Rick Kihn
- Provider
- provider Kim Lind
- Payer
- payer Anthem
Record id
22b90427-9632-4f64-cf8e-a138ed04b338