Claim total
$973.34
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-10-22
- Stop
- 1994-10-22
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Lowell Blick
- Payer
- payer No insurance
Record id
03959b6c-660d-eecd-df68-219ab6d88478