Claim total
$3,908.05
base $93.83 · payer covered $3,873.05
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1977-03-04
- Stop
- 1977-03-04
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Dual Eligible
Record id
028512d5-49bb-87e7-24c7-7cc42ce91a75