Claim total
$917.37
base $93.83 · payer covered $917.37
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-07-22
- Stop
- 2024-07-22
The parties
- Provider
- provider Landon Beer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
04481159-34f8-6925-5581-602382e585f1