Claim total
$979.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-04-01
- Stop
- 2001-04-01
The parties
- Patient
- patient Florencio Hegmann
- Provider
- provider Lowell Blick
- Payer
- payer Humana
Record id
19822a49-d259-f219-f1eb-5922404e4a74