Claim total
$704.41
base $93.83 · payer covered $654.41
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1985-02-14
- Stop
- 1985-02-14
The parties
- Patient
- patient Hiram Dillon Lind
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
24c3fed1-e126-e512-b05a-b0d377d6ba78