Claim total
$704.41
base $93.83 · payer covered $563.52
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-03-10
- Stop
- 2013-03-10
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Efren Sporer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-4b66-706206688e2f