Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2014-04-28
- Stop
- 2014-04-28
The parties
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
2f2d8660-b320-398b-6068-2afd2d327641