Claim total
$1,042.99
base $93.83 · payer covered $1,042.99
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-02-18
- Stop
- 2014-02-18
The parties
- Patient
- patient Jacqui Bess Baumbach
- Provider
- provider Vernon Labadie
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Dual Eligible
Record id
019cda32-2557-7f65-4a2a-62202e4a4b96