Claim total
$9,407.93
base $93.83 · payer covered $9,372.93
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1978-03-10
- Stop
- 1978-03-10
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-d4f0-9d75bbc72593