Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1982-07-11
- Stop
- 1982-07-11
The parties
- Patient
- patient Irving Noah Zboncak
- Provider
- provider Landon Beer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
2f7a09c8-cdf2-9b2d-ac49-1e60cd1bdd11