Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1983-04-28
- Stop
- 1983-04-28
The parties
- Patient
- patient Ollie Schuppe
- Provider
- provider Vicente McClure
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
0e60156d-05cf-220c-679e-5718d4e9071f