Claim total
$840.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-04-11
- Stop
- 2024-04-11
The parties
- Patient
- patient Rudolph Bud Batz
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
02c734eb-6a05-b133-4ae1-ecc0c66a5fe5