Claim total
$1,263.40
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-01-31
- Stop
- 2013-01-31
The parties
- Patient
- patient Garfield Myron Feeney
- Provider
- provider Thomasine Balistreri
- Care site
- care site HENNEPIN COUNTY
Record id
2c03f916-44a3-1670-5f57-9f980d2358a7