Claim total
$843.43
base $93.83 · payer covered $693.43
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1980-11-20
- Stop
- 1980-11-20
The parties
- Patient
- patient Kina Huel
- Provider
- provider Marilyn Gleichner
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
0f0ca241-3973-224f-883f-5b731aed3dda