Claim total
$903.69
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1992-01-30
- Stop
- 1992-01-30
The parties
- Patient
- patient Reginald Nicholas Torp
- Provider
- provider Vicente McClure
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
30569de9-7593-beca-e886-e1d8ef9b3b87