Claim total
$846.78
base $93.83 · payer covered $491.02
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-09-18
- Stop
- 2017-09-18
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-f2b9-edfbb3823672