Claim total
$641.13
base $93.83 · payer covered $448.79
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2020-10-16
- Stop
- 2020-10-16
The parties
- Patient
- patient Wilbur McCullough
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
Record id
0418f551-ced3-e811-28dd-cc72c9692c0a