Claim total
$978.49
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-04-09
- Stop
- 2008-04-10
The parties
- Patient
- patient Thresa Toy
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Aetna
Record id
17a7350d-afff-c3b5-57b8-5884b5fb6f11