Claim total
$980.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-09-01
- Stop
- 2016-09-01
The parties
- Provider
- provider Lowell Blick
- Payer
- payer No insurance
Record id
06014704-4726-adb5-f9fb-4bd91fc0a73f