Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2003-06-12
- Stop
- 2003-06-12
The parties
- Patient
- patient Kendall Willy Weber
- Provider
- provider Sofia Conroy
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
1631829b-d286-3250-f330-bf6dd6d2528a