Claim total
$906.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1959-08-18
- Stop
- 1959-08-18
The parties
- Patient
- patient Donny Mraz
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
Record id
394b3274-56c9-dcc2-9799-a8e0b1189cbe