Claim total
$704.41
base $93.83 · payer covered $377.13
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-07-30
- Stop
- 2015-07-30
The parties
- Patient
- patient Orlando Reinaldo Cronin
- Provider
- provider In Reichert
- Payer
- payer Medicare
Record id
016cc543-ba51-79f8-9d2b-23a776827d42