Claim total
$982.78
base $93.83 · payer covered $882.78
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-05-11
- Stop
- 2025-05-11
The parties
- Patient
- patient Ben Geraldo Bayer
- Provider
- provider Renato Bahringer
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer Medicaid
Record id
35948dc2-f7ab-375d-f883-e50df036c52d