Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-02-20
- Stop
- 2016-02-20
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Lowell Blick
- Payer
- payer No insurance
Record id
03959b6c-660d-eecd-a7a8-16148e4b0be8