Claim total
$745.26
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1943-11-24
- Stop
- 1943-11-24
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
0054427e-44d7-94b2-83ab-2ddb9c0fbe74