Claim total
$1,049.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-11-16
- Stop
- 2013-11-16
The parties
- Patient
- patient Quinn Berry Gleichner
- Provider
- provider Albert Blanda
- Care site
- care site WEST METRO WELLNESS PC
Record id
0ceb184e-3b16-a9cd-b34f-7983aff28033