Claim total
$1,463.73
base $93.83 · payer covered $1,363.73
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-09-08
- Stop
- 2025-09-08
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Danilo Haley
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-6013-acb51a5e6190