Claim total
$704.41
base $93.83 · payer covered $704.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-03-18
- Stop
- 2020-03-18
The parties
- Provider
- provider Miki Kirlin
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-af9f-57d536fc8859