Claim total
$1,589.38
base $93.83 · payer covered $1,271.49
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-03-14
- Stop
- 2020-03-14
The parties
- Provider
- provider Bradley Terry
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-4b77-fa2286371f4a