Claim total
$641.13
base $93.83 · payer covered $328.06
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2002-03-19
- Stop
- 2002-03-19
The parties
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
23088664-4c85-2fc4-70d6-b1c8bc3313e3