Claim total
$1,049.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1952-05-20
- Stop
- 1952-05-20
The parties
- Patient
- patient Adolph Junior Crist
- Provider
- provider Ramiro Boehm
- Payer
- payer No insurance
Record id
3672386e-ce21-51ce-a6aa-75e4a6cb36f7