Claim total
$1,243.97
base $93.83 · payer covered $1,243.97
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-03-30
- Stop
- 2022-03-30
The parties
- Provider
- provider Jarred Jenkins
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-fa01-c1e9f7839f45