Claim total
$1,527.01
base $93.83 · payer covered $1,527.01
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-03-01
- Stop
- 2017-03-01
The parties
- Provider
- provider Jarred Jenkins
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-890f-a608fe293149