Claim total
$5,541.24
base $93.83 · payer covered $3,266.59
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-01-30
- Stop
- 2013-01-30
The parties
- Provider
- provider Krysten Greenholt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
17bc2196-5977-7a0f-7abf-aeb195fdcf0b