Claim total
$1,188.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2005-11-12
- Stop
- 2005-11-12
The parties
- Patient
- patient Cyril Luciano Walsh
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
334963a8-b170-3b80-f8f3-28044798746c