Claim total
$772.84
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2003-03-21
- Stop
- 2003-03-21
The parties
- Patient
- patient Everette Mosciski
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
09f2a1aa-20ad-d4db-3954-2aba35ceecc7