Claim total
$1,046.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2009-06-07
- Stop
- 2009-06-07
The parties
- Patient
- patient Cheri Jonna Gutmann
- Provider
- provider Olin Mosciski
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
22220d10-33d3-225a-8bb7-7090b6d1d7c7