Claim total
$1,115.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-06-05
- Stop
- 1999-06-05
The parties
- Patient
- patient Joseph Milton Hodkiewicz
- Provider
- provider Hiram Nitzsche
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
37957a1d-c807-e8b6-915f-63c7c3e2a59e