Claim total
$1,463.73
base $93.83 · payer covered $984.58
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-08-30
- Stop
- 2010-08-30
The parties
- Patient
- patient Albert Gaylord Kiehn
- Provider
- provider Landon Beer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
03865fba-8cf7-44f6-bc7d-4f4bdaf90f62