Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-09-16
- Stop
- 2016-09-16
The parties
- Patient
- patient Oren Scott Cartwright
- Provider
- provider Alesha Wilderman
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
1122b556-35c1-c7a0-804f-44aa529c468b