Claim total
$1,582.85
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-05-04
- Stop
- 2021-05-04
The parties
- Patient
- patient Ron Reuben Walker
- Provider
- provider Brant Gorczany
- Care site
- care site HENNEPIN COUNTY
Record id
0117942b-d1ba-c89b-025e-9ccb60960737