Claim total
$910.06
base $93.83 · payer covered $541.64
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1984-06-09
- Stop
- 1984-06-09
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Quintin Muller
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-b00b-7d98310356f5