Claim total
$1,527.01
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1956-02-25
- Stop
- 1956-02-25
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Aubrey Carroll
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer No insurance
Record id
0302711f-bc3a-898e-243e-6a00db8c43c3