Claim total
$910.06
base $93.83 · payer covered $546.52
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-07-14
- Stop
- 2001-07-14
The parties
- Provider
- provider Danilo Haley
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
2f8f5d60-da22-b989-8e0a-4262694e4671