Claim total
$575.72
base $93.83 · payer covered $575.72
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-06-12
- Stop
- 2017-06-12
The parties
- Provider
- provider Landon Beer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-8e5b-dad86bd64020