Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-06-16
- Stop
- 2008-06-16
The parties
- Patient
- patient Rubin Renato Auer
- Provider
- provider Florentino Boehm
Record id
33f8bbfc-822b-feda-11e7-a616b99f4368