Claim total
$1,237.91
base $93.83 · payer covered $990.32
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-09-01
- Stop
- 2017-09-01
The parties
- Patient
- patient Erick Grady
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
2d56633f-71fd-d363-596b-c8db9e558f60