Claim total
$505.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1943-01-05
- Stop
- 1943-01-05
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-e7c0-2213b04a33c2