Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1999-07-26
- Stop
- 1999-07-26
The parties
- Patient
- patient Minta Helen Blick
- Provider
- provider Renato Bahringer
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer No insurance
Record id
21a0bbf6-4a8f-2daf-ea07-3f1bd98b4de4