Claim total
$505.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2008-10-18
- Stop
- 2008-10-18
The parties
- Patient
- patient Sterling Devon Lemke
- Provider
- provider Jamison Rau
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
2ae76d42-c5f9-1441-d19f-ba639c079744