Claim total
$899.40
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-04-27
- Stop
- 2008-04-27
The parties
- Patient
- patient Terrell Robin Beer
- Provider
- provider Lola Fadel
- Care site
- care site HENNEPIN COUNTY
Record id
28727159-8d41-0fac-f7ba-a3e1210313ff