Claim total
$1,463.73
base $93.83 · payer covered $447.05
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-06-29
- Stop
- 2024-06-29
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Jamison Rau
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-0a02-ac7da6a1568c