Claim total
$3,497.68
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 32485007
- Start
- 2008-07-09
- Stop
- 2008-07-10
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
01845754-7d83-d7eb-53f2-2012f23de16b