Claim total
$767.69
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1996-04-25
- Stop
- 1996-04-25
The parties
- Patient
- patient Bettye Jeannetta Stamm
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
35bc384f-9e87-79c6-c600-123b21fb6081