Claim total
$775.00
base $93.83 · payer covered $433.59
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-06-25
- Stop
- 2022-06-25
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Vicente McClure
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
01845754-7d83-d7eb-c291-fbaab1380ebe