Claim total
$1,005.25
base $93.83 · payer covered $804.19
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-03-27
- Stop
- 2016-03-27
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Vina Durgan
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-9ea6-f9bc3c7eb3a8