Claim total
$1,447.92
base $93.83 · payer covered $978.94
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2003-04-04
- Stop
- 2003-04-04
The parties
- Patient
- patient Hortensia Hedwig Johnson
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
0aaf4f74-ced4-523a-ccf5-1dcc16242b9a