Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-02
- Stop
- 2025-04-02
The parties
- Patient
- patient Rodrigo Hickle
- Provider
- provider Ramiro Boehm
- Payer
- payer Humana
Record id
2ae9c3d3-e800-aa81-7ab0-d29814ec3b7b