Claim total
$1,590.29
base $93.83 · payer covered $1,590.29
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-03-27
- Stop
- 2021-03-27
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider Trevor Williamson
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-9d9b-86412a46c503