Claim total
$917.37
base $93.83 · payer covered $917.37
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-04-08
- Stop
- 2023-04-08
The parties
- Patient
- patient Alvin Tracy Morar
- Provider
- provider Britt Sipes
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
00df058f-9df4-4d69-9deb-9c270a67c7b5