Claim total
$972.12
base $93.83 · payer covered $822.12
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1988-10-24
- Stop
- 1988-10-25
The parties
- Patient
- patient María Micaela Magaña
- Provider
- provider Francene Treutel
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
0b835039-e875-4ecd-706d-c3f01471d1bb