Claim total
$1,480.97
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1995-08-21
- Stop
- 1995-08-21
The parties
- Patient
- patient Merrill Isiah Kilback
- Provider
- provider Landon Beer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
0cdd8bf8-9e6d-8e54-2942-6898ecf67762