Claim total
$1,185.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2011-05-23
- Stop
- 2011-05-23
The parties
- Patient
- patient Casey Nigel Ward
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
0c36e2d3-a6c1-bb96-4554-dffbb4b170fc