Claim total
$819.58
base $93.83 · payer covered $655.66
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-01-25
- Stop
- 2025-01-25
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Quintin Muller
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-cbea-52f84f3ded8c