Claim total
$979.48
base $93.83 · payer covered $783.58
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2016-10-28
- Stop
- 2016-10-28
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Vena Champlin
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
032000cf-30b4-7e9b-b0ef-f10cc9827f42