Claim total
$777.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2017-11-27
- Stop
- 2017-11-27
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Vena Champlin
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Anthem
Record id
01e5652d-7e46-45b8-68fb-635c3df58bce