Claim total
$1,306.46
base $93.83 · payer covered $858.75
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-01-06
- Stop
- 2001-01-06
The parties
- Provider
- provider Bradley Terry
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-0a9b-7f9fd660d46b