Claim total
$1,321.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2009-02-05
- Stop
- 2009-02-05
The parties
- Patient
- patient Su Vernie Kuhlman
- Provider
- provider Lowell Blick
- Payer
- payer Humana
Record id
22fea05c-650a-321a-fc92-aca30e5ca293