Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-08-13
- Stop
- 2024-08-13
The parties
- Provider
- provider Antionette Corwin
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer Humana
Record id
01552496-8a29-5071-6a6e-689a4a7ff668