Claim total
$1,043.93
base $93.83 · payer covered $650.29
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-12
- Stop
- 2025-04-12
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Lowell Blick
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-a60e-ecd62a6b18ae