Claim total
$1,123.02
base $93.83 · payer covered $712.79
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-03-24
- Stop
- 2019-03-24
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-ef09-d7cdb3454d89