Claim total
$700.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1944-04-09
- Stop
- 1944-04-09
The parties
- Patient
- patient Colby Wintheiser
- Provider
- provider Ramiro Boehm
- Payer
- payer No insurance
Record id
20bc4efb-24a4-91b5-a87a-bfc5451598a0