Claim total
$985.80
base $93.83 · payer covered $835.80
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1988-07-15
- Stop
- 1988-07-15
The parties
- Patient
- patient Aracely Dach
- Provider
- provider Vernon Labadie
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
1a6a6539-4801-ed9e-9337-5774789ebba5