Claim total
$830.97
base $93.83 · payer covered $664.76
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-04-26
- Stop
- 2000-04-26
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-0e0f-19b709c3e08f