Claim total
$1,063.89
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-10-07
- Stop
- 2025-10-07
The parties
- Patient
- patient Brian Becker
- Provider
- provider Lowell Blick
Record id
02d05adc-d769-f526-62f0-ba4249791744