Claim total
$704.41
base $93.83 · payer covered $377.13
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-10-28
- Stop
- 2024-10-28
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-f029-f0243f10ba56