Claim total
$4,232.95
base $93.83 · payer covered $3,386.34
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-10-30
- Stop
- 2020-10-30
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Lowell Blick
- Payer
- payer Medicare
Record id
04384da7-7311-e99a-3330-2623a21d2c93