Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-08-07
- Stop
- 2018-08-07
The parties
- Patient
- patient Rosy Angelic Lowe
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer No insurance
Record id
30483e60-db83-84dc-4e4f-fe9c53a13199