Claim total
$983.72
base $93.83 · payer covered $983.72
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-16
- Stop
- 2025-04-16
The parties
- Provider
- provider Jarred Jenkins
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-8acd-7d058551c97e