Claim total
$1,328.67
base $93.83 · payer covered $877.31
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-27
- Stop
- 2025-04-27
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Hiram Nitzsche
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-d18e-82e102431d40