Claim total
$1,597.60
base $93.83 · payer covered $1,597.60
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-07-26
- Stop
- 2022-07-26
The parties
- Patient
- patient Suzi Sydney Robel
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
0804c552-c9d6-65d3-0682-4b3d37f5b16d