Claim total
$767.69
base $93.83 · payer covered $767.69
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-06-29
- Stop
- 2020-06-29
The parties
- Provider
- provider Landon Beer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-6a48-c10303c30f19