Claim total
$830.97
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1964-04-08
- Stop
- 1964-04-08
The parties
- Patient
- patient Mickey Turner
- Provider
- provider Adriene Wisozk
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer No insurance
Record id
1c58b7aa-3382-6851-9d24-368dc7ccd06e