Claim total
$972.12
base $93.83 · payer covered $777.68
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1981-08-08
- Stop
- 1981-08-08
The parties
- Patient
- patient Alyson Trula Bernier
- Provider
- provider Vicente McClure
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
25c888b3-d617-8ac8-6296-cf446285ff88