Claim total
$1,115.71
base $93.83 · payer covered $707.19
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-03-06
- Stop
- 2016-03-06
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-9df4-3c9f20abd42e