Claim total
$1,425.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-04-11
- Stop
- 2020-04-11
The parties
- Patient
- patient Cornell Bernie Powlowski
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
23a5eee3-ef92-bbc3-5299-216e259985f7