Claim total
$1,460.38
base $93.83 · payer covered $993.77
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-05-30
- Stop
- 2023-05-30
The parties
- Patient
- patient Long Lee Koelpin
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
3262d190-0790-ed5d-0ff8-d987f6168c2f