Claim total
$775.00
base $93.83 · payer covered $434.37
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-04-18
- Stop
- 2026-04-18
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Lowell Blick
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-2cd3-5841e413b6a8