Claim total
$840.41
base $93.83 · payer covered $672.32
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-04-14
- Stop
- 2019-04-14
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Vina Durgan
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-6489-22aefee80a57