Claim total
$570.21
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-10-28
- Stop
- 2022-10-28
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Hiram Nitzsche
- Care site
- care site HENNEPIN COUNTY
Record id
0418f551-ced3-e811-a831-e924d83958cc