Claim total
$1,527.01
base $93.83 · payer covered $1,035.20
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-07-28
- Stop
- 2008-07-28
The parties
- Patient
- patient Colton Eloy Yost
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
00f38984-ead0-d444-684b-2a50edb3c642