Claim total
$899.40
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-08-21
- Stop
- 2006-08-21
The parties
- Patient
- patient Omer Carl Waelchi
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
0b54affd-683d-bf85-0d27-30189f2c85bd