Claim total
$836.12
base $93.83 · payer covered $686.12
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-04-08
- Stop
- 1989-04-08
The parties
- Patient
- patient Edwardo Baumbach
- Provider
- provider Rocco Wehner
- Payer
- payer Medicaid
Record id
10e41b04-0f54-fb52-f6dd-f7d15a3cbd32