Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1960-03-30
- Stop
- 1960-03-30
The parties
- Patient
- patient Mickey Turner
- Provider
- provider Fernande Predovic
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer No insurance
Record id
1c58b7aa-3382-6851-fdb8-ed5029bcf6bb