Claim total
$704.41
base $93.83 · payer covered $377.13
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1984-02-26
- Stop
- 1984-02-26
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-f627-65d073178ca1