Claim total
$1,049.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1988-02-25
- Stop
- 1988-02-25
The parties
- Patient
- patient Freeman Winfred Erdman
- Provider
- provider Alesha Wilderman
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
17dd8403-c3e7-454f-f6d9-4955c54a25f3