Claim total
$1,229.95
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1968-03-03
- Stop
- 1968-03-03
The parties
- Patient
- patient Debrah Lily Kreiger
- Provider
- provider Vernon Labadie
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
1dc07f8a-b79b-b7be-257d-a02971c28060