Claim total
$775.00
base $93.83 · payer covered $625.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1997-11-06
- Stop
- 1997-11-06
The parties
- Patient
- patient Marci Floy Osinski
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
15120c17-c8d7-3c84-554e-6f8efbea0c07