Claim total
$1,108.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-04-16
- Stop
- 2016-04-16
The parties
- Patient
- patient Morris Ronny Herzog
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer UnitedHealthcare
Record id
37503fb0-fda3-afc6-83e7-429effd56acc