Claim total
$1,409.99
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2007-03-24
- Stop
- 2007-03-24
The parties
- Patient
- patient Latoya Serina Howell
- Provider
- provider Waneta Boyer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
01a84ea8-c5e2-54d4-bc29-c7d5ab94328f