Claim total
$973.34
base $93.83 · payer covered $778.66
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-02-10
- Stop
- 2016-02-10
The parties
- Patient
- patient Gaylene Adell Reynolds
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
34c15c13-e4f6-1b19-4bd4-5fa1df388650