Claim total
$719.03
base $93.83 · payer covered $575.22
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-12
- Stop
- 2025-04-12
The parties
- Provider
- provider Margarite Dibbert
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-5a07-931198278ec6