Claim total
$1,188.28
base $93.83 · payer covered $764.22
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-04-06
- Stop
- 2024-04-06
The parties
- Provider
- provider Bradley Terry
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-8031-b1b2b1edf9c9