Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-08-07
- Stop
- 2024-08-07
The parties
- Patient
- patient Anderson Randell Stracke
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Anthem
Record id
0205f653-6551-192d-c90b-eb2ceb0d6ef6