Claim total
$1,253.04
base $93.83 · payer covered $1,002.42
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-05-07
- Stop
- 2023-05-07
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Jamison Rau
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-84bf-c386e5fc2020