Claim total
$5,209.32
base $93.83 · payer covered $5,174.32
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1980-03-21
- Stop
- 1980-03-21
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Dual Eligible
Record id
028512d5-49bb-87e7-18a4-c3f00b490072