Claim total
$2,144.90
base $93.83 · payer covered $1,531.46
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-01-31
- Stop
- 2025-01-31
The parties
- Patient
- patient Everette Mosciski
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
09f2a1aa-20ad-d4db-2487-5ac4dc0de563