Claim total
$899.40
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-04-13
- Stop
- 1991-04-13
The parties
- Patient
- patient Kirk Brakus
- Provider
- provider Fredrick Strosin
- Care site
- care site OPTAGE PRIMARY CARE LLC
- Payer
- payer No insurance
Record id
11a862f9-3413-b57d-6eb9-85298c17c97f