Claim total
$843.43
base $93.83 · payer covered $693.43
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1969-06-21
- Stop
- 1969-06-21
The parties
- Patient
- patient Crista Kristin Stehr
- Provider
- provider Renato Bahringer
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer Medicaid
Record id
1ebf266f-db79-48d9-0300-6715ea3ce4dc