Claim total
$13,174.67
base $93.83 · payer covered $10,539.73
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-04-08
- Stop
- 2018-04-08
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-b13c-615a41682e5b