Claim total
$1,052.32
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1963-06-24
- Stop
- 1963-06-24
The parties
- Patient
- patient Colton Eloy Yost
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
00f38984-ead0-d444-26f5-0d9d43131607