Claim total
$6,851.11
base $93.83 · payer covered $6,851.11
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1946-01-08
- Stop
- 1946-01-08
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-2e19-6671180ee5c0