Claim total
$846.78
base $93.83 · payer covered $491.02
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-09-30
- Stop
- 2019-09-30
The parties
- Patient
- patient Colton Eloy Yost
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
00f38984-ead0-d444-deea-8ef639fae5bd