Claim total
$1,527.01
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1985-07-11
- Stop
- 1985-07-11
The parties
- Patient
- patient Orlando Reinaldo Cronin
- Provider
- provider In Reichert
- Payer
- payer Humana
Record id
016cc543-ba51-79f8-1c8b-2dbdf4a73040