Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-09-28
- Stop
- 2013-09-28
The parties
- Patient
- patient Arlen Schamberger
- Provider
- provider Olin Mosciski
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
01ee9e96-5701-e5d2-7337-de17800a6296