Claim total
$1,500.92
base $93.83 · payer covered $1,016.08
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-02-17
- Stop
- 2013-02-17
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Hiram Nitzsche
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-92ce-32602d717ca7