Claim total
$568.41
base $93.83 · payer covered $454.72
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-05-20
- Stop
- 2017-05-20
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Vina Durgan
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-a53c-4763bd73a7ab