Claim total
$1,726.64
base $93.83 · payer covered $1,195.69
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-04-04
- Stop
- 2021-04-04
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-631d-22341caa3ca9