Claim total
$840.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2018-08-17
- Stop
- 2018-08-17
The parties
- Patient
- patient Florinda Suzanna Lehner
- Provider
- provider Vena Champlin
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
05d39322-006c-95d6-047d-715e05d794b9