Claim total
$1,006.33
base $93.83 · payer covered $856.33
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1973-02-09
- Stop
- 1973-02-09
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
028512d5-49bb-87e7-f9fe-e7754cc36c54