Claim total
$435.48
base $93.83 · payer covered $348.38
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-11-26
- Stop
- 2021-11-26
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Vena Champlin
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
032000cf-30b4-7e9b-deb2-84581d128418