Claim total
$1,321.08
base $93.83 · payer covered $1,056.85
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-04-04
- Stop
- 2022-04-04
The parties
- Patient
- patient Velia Augustina O'Kon
- Provider
- provider Danilo Haley
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicare
Record id
34f83616-1d92-0096-11f1-9945514ff814