Claim total
$1,185.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-08-16
- Stop
- 2014-08-16
The parties
- Patient
- patient Johnsie Tressie Conn
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
13f47f2e-4184-0fa2-32a0-2e45e59e58e5