Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1959-06-15
- Stop
- 1959-06-15
The parties
- Patient
- patient Colton Eloy Yost
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
00f38984-ead0-d444-8aac-6acff66bf5fb