Claim total
$843.43
base $93.83 · payer covered $172.04
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-09-21
- Stop
- 2018-09-21
The parties
- Patient
- patient Garland Diego Schulist
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
319f1704-a8bc-41b4-9dd0-4d17a49b6913