Claim total
$843.43
base $93.83 · payer covered $493.01
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1998-12-08
- Stop
- 1998-12-08
The parties
- Patient
- patient Lezlie Torp
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
109e9a50-b505-db69-3155-c034e2d627b0