Claim total
$1,270.02
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1977-04-02
- Stop
- 1977-04-02
The parties
- Patient
- patient Luigi Ezekiel Stehr
- Provider
- provider Ramiro Boehm
- Payer
- payer No insurance
Record id
0f90eec3-ef36-aefd-5c49-7d41e041557d