Claim total
$1,189.37
base $93.83 · payer covered $1,189.37
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-03-16
- Stop
- 2019-03-16
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider Vernon Labadie
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-3d37-f0469a272393