Claim total
$917.37
base $93.83 · payer covered $917.37
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-08-03
- Stop
- 2026-08-03
The parties
- Provider
- provider Landon Beer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-339c-8c5aea68ccd3