Claim total
$1,256.14
base $93.83 · payer covered $1,256.14
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-08-16
- Stop
- 2021-08-16
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-6730-aa8ee31cd562