Claim total
$1,869.60
base $93.83 · payer covered $1,495.67
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-02-21
- Stop
- 2010-02-21
The parties
- Patient
- patient Giovanni Riley Hilll
- Provider
- provider Dirk D'Amore
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
1e5a5554-7082-bc61-b08d-273f97eda025