Claim total
$293.11
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-10-12
- Stop
- 2019-10-12
The parties
- Patient
- patient Jeana Shanel Gibson
- Provider
- provider Renato Bahringer
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
Record id
15ce5242-1cef-298b-2221-a9a2d8e93b32