Claim total
$1,116.65
base $93.83 · payer covered $706.91
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-06-08
- Stop
- 2019-06-08
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Vicente McClure
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
01845754-7d83-d7eb-1a8b-53db1f5db7a5