Claim total
$1,116.65
base $93.83 · payer covered $1,116.65
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-06-24
- Stop
- 2019-06-24
The parties
- Provider
- provider Landon Beer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-8b2b-f5daa1ad1421