Claim total
$711.72
base $93.83 · payer covered $711.72
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-19
- Stop
- 2025-04-19
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider Sofia Conroy
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-145a-b4a4b64f1bc8