Claim total
$772.84
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1997-10-19
- Stop
- 1997-10-19
The parties
- Patient
- patient Hans Becker
- Provider
- provider Magen Mertz
- Payer
- payer No insurance
Record id
33ce962c-c56e-1768-6d24-72d16c3471d8