Claim total
$900.62
base $93.83 · payer covered $630.45
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-03-09
- Stop
- 2016-03-09
The parties
- Patient
- patient Christel Torp
- Provider
- provider Brianne Erdman
- Care site
- care site DAKOTA MEDICAL CLINIC, PA
Record id
00edd987-99b7-13d9-63b6-e28c92e35fc1