Claim total
$1,178.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1993-02-12
- Stop
- 1993-02-12
The parties
- Patient
- patient Lovella Chantel Turner
- Provider
- provider Efren Sporer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
0c01dfe2-68c1-f9e7-f124-62bd0a3afaa7