Claim total
$1,112.36
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-06-08
- Stop
- 2020-06-08
The parties
- Patient
- patient Cleo Watsica
- Provider
- provider Waneta Boyer
- Care site
- care site HENNEPIN COUNTY
Record id
017647b2-914f-2bdf-b60f-67821ee134ec