Claim total
$10,127.62
base $93.83 · payer covered $8,102.09
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-08-29
- Stop
- 2020-08-29
The parties
- Patient
- patient Porfirio West
- Provider
- provider Lowell Blick
- Payer
- payer Medicare
Record id
05880a71-6004-727f-309f-51d3316f8177