Claim total
$1,251.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-04-26
- Stop
- 2026-04-26
The parties
- Patient
- patient Eldon Clement Reichert
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
068939a5-a4b3-fcd4-44d2-d5f7b210a4df