Claim total
$1,219.06
base $93.39 · payer covered $975.23
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-06-14
- Stop
- 2017-06-14
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-744d-d3d287894f25