Claim total
$780.15
base $93.83 · payer covered $624.11
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-03-25
- Stop
- 2021-03-25
The parties
- Patient
- patient Kendall Willy Weber
- Provider
- provider Trevor Williamson
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
1631829b-d286-3250-e1c3-e40992e4e402