Claim total
$853.36
base $93.83 · payer covered $703.36
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1981-02-26
- Stop
- 1981-02-26
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
023818a4-3852-fbab-d803-937f91cf7b50