Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-01-10
- Stop
- 2016-01-10
The parties
- Patient
- patient Norman Lanny Bosco
- Provider
- provider Renato Bahringer
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer Anthem
Record id
301c4089-783b-8ccf-6ff1-2544a525318a