Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-06-13
- Stop
- 1989-06-13
The parties
- Patient
- patient Lucretia Phillis Crooks
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
351eb513-0da1-4f70-e100-99066141915c