Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2026-07-07
- Stop
- 2026-07-07
The parties
- Patient
- patient Brian Becker
- Provider
- provider Lowell Blick
Record id
02d05adc-d769-f526-798c-9a7bafb7ed19