Claim total
$641.13
base $93.83 · payer covered $512.90
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-10-05
- Stop
- 2020-10-05
The parties
- Patient
- patient Colton Eloy Yost
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
00f38984-ead0-d444-6638-c9b85c988f11