Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1983-12-19
- Stop
- 1983-12-19
The parties
- Provider
- provider Alesha Wilderman
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
14e770fe-ebf5-e4c8-69eb-7744630b2277