Claim total
$777.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-04-19
- Stop
- 2014-04-20
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-d706-79e49ec5d2e4