Claim total
$631.69
base $93.83 · payer covered $631.69
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-04-22
- Stop
- 2026-04-22
The parties
- Provider
- provider Jarred Jenkins
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-bef0-0bbaccbcdeb9