Claim total
$840.41
base $93.83 · payer covered $840.41
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-09-02
- Stop
- 2024-09-02
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Danilo Haley
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-3d64-083609358c3b