Claim total
$980.22
base $93.83 · payer covered $880.22
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-11-16
- Stop
- 2016-11-16
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-691d-a163139fb9f6