Claim total
$1,420.95
base $93.39 · payer covered $1,136.75
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-12-04
- Stop
- 2019-12-04
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-d0e4-8a6b032037e0