Claim total
$772.84
base $93.83 · payer covered $618.26
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-05-23
- Stop
- 2021-05-23
The parties
- Patient
- patient Tim Dane Considine
- Provider
- provider Lucas Kautzer
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
3192ff7d-d059-e73e-6bc3-53bc2b5ca357