Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-03-26
- Stop
- 2006-03-26
The parties
- Patient
- patient Martín Sancho Negrete
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
0a909b67-d0cd-7ff7-a38c-2cda0e71830c