Claim total
$1,448.77
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1937-07-05
- Stop
- 1937-07-05
The parties
- Patient
- patient Cedrick Cruickshank
- Provider
- provider Ramiro Boehm
- Payer
- payer No insurance
Record id
1f831053-89b2-b3f0-7f34-0a54eb7d77f8