Claim total
$843.43
base $93.83 · payer covered $693.43
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2005-07-30
- Stop
- 2005-07-30
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider Vernon Labadie
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-560c-250a3bfa1423