Claim total
$2,217.62
base $93.83 · payer covered $1,588.47
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-04-21
- Stop
- 2024-04-21
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Hiram Nitzsche
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-9605-35edc5de4478