Claim total
$846.78
base $93.83 · payer covered $796.78
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1993-10-15
- Stop
- 1993-10-15
The parties
- Patient
- patient Ginger Jamie Feil
- Provider
- provider Renato Bahringer
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer Medicaid
Record id
291eef3f-a432-2174-4e92-f8fa2c3e2062