Claim total
$1,391.95
base $93.83 · payer covered $928.71
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-03-12
- Stop
- 2017-03-12
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-6d29-1d8532803dce